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� <br /> Cit of Orono ���h"'�= <br /> , Y <br /> , Permanent Sign Permit Appiication <br /> Mailing Address: Permit number: <br /> �,0,�. PO Box 66 <br /> O . O Crystal Bay, MN 55323-0066 Date received: <br /> ��,, <br /> �,� '� �:��3� �, � Street Address: Received by: / � <br /> �',�, � °q%� �ti�' 2750 Kelley Parkway Permit Fee: � �� ' <br /> r�kESHOg'� Orono, MN 55356 <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: ��p (UU/,�.� S�L�,;,.,k c�vj� <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> / <br /> ❑ Needs replacing Sign Face Length: �j � Wood ❑ E�ernal <br /> / <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 � J� � <br /> of Sign to Grade: S � <br /> OWNER INFORMATION: <br /> Name: � S�SI Q�`'�O L�C_ _ <br /> Address: � S'j V� �� c�5� (��,, ��Nu(� ,� ��LCity: 5�-_ �,�� ZIP:�r►�L� <br /> Contact Person: ,��j,U ��.�,,,5 <br /> Phone: �,� L - -Z 37 — 3') 6� <br /> Email and/or Fax �,�-�� e��,� � �� . ���,.� <br /> CONTRACTOR/APPLICANT: <br /> Name: �� k <br /> Mailing Address: 5��.�q �,.,5 ���,� City: ZIP: <br /> Contact Person: <br /> Phone: <br /> , >� <br /> Estimated Construction Value$ � �� * " All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: �.tS��' �v-�U���S ��,����, <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> i <br /> ❑ New Sign Installation Sign Face Length: � ❑ Wood ❑ External <br /> !f <br /> [� Sign Alteration/ Sign Face Width: �' ❑ Plastic ❑ Internal <br /> Face Change j � <br /> Total Square Footage: t, ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: �f ���' ❑ Other(specify) ❑ Other(specify) <br /> u s� F,�..� s, � <br /> Distance from Bottom � i <br /> r� S � of Sign to Grade: � �� <br /> w, � �..�� <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> C��n�r�3fi� ��r..:���� <br />