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� �iiy or �rono <br /> ' � ' Permanent Sign Permit Application <br /> ��� Mailing Address p��i����}��: �,�,�-l�ll�fi� ' <br /> � PO Box 66 ;. <br /> Crystal Bay, MN 55323-0066 -�Date:recelve�l.��� '� ��'"����� � <br /> � � � <br /> StreetAddress: � ��������b�: � ����� �� ��� ����� � <br /> �. �' 2750 Kelley Parkway Permit Fee: � <br /> fi <br /> �' Orono, MN 55356 <br /> �`���Sk���'�` "� �� �Q�'. <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. (Please print) <br /> GENERAL INFORMATION: •l�� � <br /> Site Address: � <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Ezlsting 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: <br /> Name: yQbPC� � �1'PI''�R'l.. <br /> Address: , City: P /�{p ZIP: <br /> Contact Person: <br /> Phone: QO <br /> Email and/or Fax • yN <br /> 1 � <br /> CONTRACTOR/APPLICANT: �` � <br /> Name: . <br /> Mailing Address: Q� . . Z�P� • <br /> Contact Person: �.r/.�I�A�it'� �� <br /> Phone: �'1�. �.lD •'�7s�'7 <br /> Estimated Construction Value$ �•7$7.O� * * All work is to be done per IBC <br /> �o�� MoiuuiMA�vf� <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Propos�Si �� Proposed Materials: Proposed Illumination: <br /> f�New Sign Installation Sign Face Length:�` � ❑ Wood ,1��External <br /> � n i �' <br /> ❑ Sign Alteration/ Sign Face Width: � '� ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: 0 $1 Metal ❑ Indirect <br /> ❑ Other(s�ecify) ! / <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottorr} �� �� �� 1-��'��7 <br /> of Sign to Grade: •- � �0�� <br /> A Minnesota State Electrical Permit is required if elecfrical work is proposed. <br />