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� City of Orono <br /> Permanent Sign Permit Application <br /> O Mailing Address: Permit number: � [ <br /> �- �O PO Box 66 � � '7 <br /> Crystal Bay, MN 55323-OOfjf� • Date received: � ,��/ , <br /> 'vu � A <br /> Street Address: �„ l Received by: ��'t,�. <br /> y � 2750 Kelley Parkway �I Permit Fee: $50.00 per sign <br /> `� �' Orono, MN 55356 <br /> ��'�fSH��� � ��i �/�/ <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in fu�l and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> GENERAL INFORMATION: �/' <br /> Site Address: �,j7�' �1�pr� � �r!'� �/Z., ,Ji/fOac,n/I�, J"i�/ �j�.3�p7� <br /> Street Frontage of Property /03�+ (feet) <br /> Size of Existing Sign: <br /> /1�0»C Existing Materials: Existing Illumination: <br /> Sign Face Length: ��`x �onQ, <br /> ❑ Wood ❑ External <br /> Sign Face Width: <br /> ❑ Plastic ❑ Internal <br /> Total Square Footage: <br /> ❑ Metal ❑ Indirect <br /> Top of Sign to Grade: <br /> ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: Sou�e �ano� -�e%�o 2v,f' Tr�e, <br /> Address: �/�oZ/S �S r''' f}✓e n K� o�?h �'u�� D City: �/y�ou�i ZI P: �'��/c�l�c <br /> Contact Person: �has�. I��teiz.so.-� <br /> Phone: �7'�� S5/— O/�O <br /> Email and/or Fax Gr�iJaSe. SO KrC��ahC�. Cp�-, <br /> CONTRACTOR APP CANT• � ho��e2 �� COyt����� Cas� <br /> Name: �it`���s {��-- ,�/�►�2u� /?cS�2�2�70�.-2/'IG ( ani 57S/Voy/�, �}•-`�'t L7,�;✓C_ <br /> Mailing Address: � . � 78 City:Na y�rr� Z1P: �5-53 2 <br /> Contact Person: ��..y�� y7a ,�l,S�n� <br /> Phone: (o_r,-/_ 33cr—��,/�'O rur� v:a�t�/S n/ � �'�'Y1ai/. Co� <br /> *''All work is to be done per Minnesota Building Code �� �O�I�, '7�v �e �� �O�� <br /> 13.'/l �cl-,wa/bC Sc�W�)1�2 Srf'pr�G�cJok�.K.1.v�c, <br /> PROPOSED SIGN INFORMATION: 9sa-�'�7 3322 90 � (!O� S-f: c, �,S„DS <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Material : roposed Illuminati n: <br /> [�New Sign Installation Sign Face Length: ^' g ��e'7'`' ❑ Wood ❑ External <br /> +��� ht .�, 6 Qef <br /> ❑ Sign Alteration/ Sign Face�: f ❑ Plastic ❑ Internal <br /> Face Change ''�' <br /> Total Square Footage:�'�8 e ❑ Metal ❑ Indirect <br /> ❑ Other(specify) ,�� <br /> Top of Sign to Grade:""� UV Other(specify) ❑ Other(specify) <br /> Distance from Bottom yl��n i�L /rOn� <br /> of Sign to Grade: o�f" 9f�de <br /> A Minnesota State Electrica/Permit is required if electrical work is proposed. <br /> March 2016 �S�qN Sh��e I�V'►'� t���� <br /> �/ <br /> -����f P�S CUi/1 � ��ix hcs rh �i�� <br />