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� <br /> r i <br /> 1 <br /> City of Orono �� � � �� <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: �//—�� 0 <br /> �,�,�\. PO Box 66 <br /> Q F, O\ Crystal Bay, MN 55323-0066 Date received: –�–� ( <br /> c a �:,, � <br /> ,a � � �� o-, Street Address: Received by: C,1� <br /> �'�,c, � '• ' p Gti�' 2750 Kelley Parkway Permit Fee: �/�. $ <br /> t9kESH�� Orono, MN 55356 ;��' „ <br /> _-_, ��� �� <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (P/ease prinf) <br /> GENERAL INFORMATION: ' _ l /� i o� 2 <br /> Site Address: ^�" ' f R� Vu��QI 11' - Z,�`�D 'Z.,J -�`,3 '��1 <br /> Street Frontage of Property �, � (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: 1� <br /> Name: _ ,�'ti�� ��I��h►����1 � h�I'� ��/i^t. ��`�4��wih�' <br /> Address: City: �! ZIP: <br /> Contact Person: 'T,� lY��+�k,ar�c�� <br /> Phone: (;,l'� ' 1`i�- S�i�� <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: <br /> Name: L�b I\a �-�n�Er�• .��'`,�� ��('��-�S �l�. <br /> Mailing Address: 5 ;�3 ��,�,,, ����.L Q,,, City: �Q�}.��y ZIP: 55 3'�(, <br /> Contact Person: ��� ���, ��� <br /> Phone: (,;�1�-`1li�f - � �� 1 /�_rn�,�l �. C t��l�s S �r�v,� �%��ah�.� c.c.;�o <br /> Estimated Construction Value$ �'C�r1 * *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumi»ation: <br /> �New Sign Installation Sign Face Length:^��, ❑ Wood ❑ External <br /> ❑ Sign Alteration/ Sign Face Width: �(:t ❑ Plastic ❑ Internal <br /> Face Change , <br /> Total Square Footage: �, � `a_ i'• ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade:��_ '� Other(specify) ❑ Other(specify) <br /> Distance from Bottom 5�:r.e /I r�R1r <br /> of Sign to Grade: 3�� <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />