Laserfiche WebLink
City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: <br /> Permit number: <br /> PO Box 66 <br /> Crystal Bay, MN 55323-006 � Date received: <br /> y )1"I Received b : <br /> 1 Street Address: y <br /> 2750 Kelley Parkway Permit Fee: $ <br /> t�k Orono, MN 55356 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: /a / <br /> Site Address: 60-5- 0aCFy$ ry fid. N• <br /> Street Frontage of Property SG.a- (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: <br /> Name: D(-0110 <br /> Address: 6 gs pld CrvS4.1 &Lxv Aed N• City:to'jn�� �U ZIP:'5s3-5-'4 <br /> Contact Person: .)uS-t-"A I/k6&5/ <br /> Phone: 95;R •�/Y9 F�35'S <br /> Email and/or Fax <br /> CONTRACTOR/APPLICANT: <br /> Name: .$i lta.4fa Sr ?�ocJ <br /> Mailing Address: .6?Vo S tnjle- Crc � fPku✓y City:Lavo,-j& Q IP: SSS/30 <br /> Contact Person: ),�MeS Ce.,n rti uS <br /> Phone: 763- `✓52�)-99IY3 <br /> Estimated Construction Value$ // 4116.00 *All work is to be done per IBC <br /> PROPOSED SIGN INFORMATION: <br /> Type of Proposed Sign: Size of Proposed Sign: Proposed Materials: Proposed Illumination: <br /> New Sign Installation Sign Face Length: O ❑ Wood ❑ External <br /> ❑ Sign Alteration/ Sign Face Width: / ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: 3a X Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other <br /> (specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />