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<br /> City of Orono �i
<br /> Permanent Sign Permit A�plication v
<br /> �
<br /> O�r Mailing Address: � Permit number: D — �� �
<br /> �- +yO PO Box 66
<br /> Crystal Bay, MN 55323-0066� Date received: 7 '" 1
<br /> �
<br /> Street Address: Received by:
<br /> y � 2750 Kelley Parkway Permit Fee: $50.00 per s n
<br /> F' G
<br /> Orono, MN 55356
<br /> `q��S ti�4�
<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:
<br /> Site Address: �J�7�1 (�,�i,.��,1�{v,.� G'��,,�4
<br /> Street Frontage of Property 2� -�;,��;,...4 �,,;,.�; �uvc .� (feet)
<br /> r
<br /> �'„��2,,�.� Size of Existing Sign:
<br /> �J��` �J Existing Materials: Existing Illumination:
<br /> Sign Face Length: � �
<br /> ��'� � � � Wood ❑ External
<br /> 3��� Sign Face Width:
<br /> � ❑ Plastic ❑ Internal
<br /> _ ��� �J,^„ Total Square Footage: � 2
<br /> � ` ❑ Metal ❑ Indirect
<br /> Top of Sign to Grade: �
<br /> ❑ Other(specify) �'Other(specify)
<br /> Distance from Bottom •? �
<br /> of Sign to Grade: J ���`
<br /> OWNER INFORMATION:
<br /> Name: ! ti1i��vIL Wpc�S (����rwti+.� 0� S.So��fio�, � v co.-.-,P�s� r:V,u���,�,v�r
<br /> �_��� 1 -l-a,��'t. � G-ti�-� 1�c,
<br /> Address: 3�v� - 3� S/ L;�;N c�4-.,., f-�vz /c-�. City: Div� o ZIP: fJ 3�1(
<br /> Contact Person: �zv, �� �/-��,
<br /> Phone: (�j2 - 6� p ._ S�4 1
<br /> Email and/or Fax (�Z� �--� �,,,,,,��;,s ti i'�+F„«�c r�-��� ����
<br /> CONTRACTOR/APPLICANT:
<br /> Name: � �i,,+-�c,,,,,-t-S �r��
<br /> Mailing Address: /'0��44 F��,,,,�(�,� G-t- � � (Q� City: ��15 z�P: rt49�
<br /> Contact Person: J;,,,., ��,. I�u�
<br /> Phone: �6� - 21� - ���(�
<br /> *"All work is to be done per Minnesota Building Code
<br /> PROPOSED SIGN INFORMATION:
<br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination:
<br /> it
<br /> �New Sign Installation Sign Face Length: 32 � Wood ❑ External
<br /> Q �t
<br /> ❑ Sign Alteration/ Sign Face Width: c7 ❑ Plastic ❑ Internal
<br /> Face Change t Z. �� �
<br /> Total Square Footage: ❑ Metal ❑ Indirect
<br /> ❑ Other(specify) �
<br /> Top of Sign to Grade:�_ ❑ Other(specify) �] Other(specify)
<br /> Distance from Bottom �7 � ��`�v`�-
<br /> of Sign to Grade: �
<br /> A Minnesota State Elecfrical Permit is required if electrical work is proposed.
<br /> March 2016
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