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city of urono <br /> Permanent Sign Permit Application <br /> A T <br /> MailingAddress: <br /> Box 66: Permit number: <7-4e)/6-40./ S <br /> VO <br /> f 1�0 Crystal Bay,MN 55323-0066 Date received: O "' , <br /> ,� Street Address: Received by: <br /> ti� 2750 Kelley Parkway Permit Fee: $ <br /> t�kESHOQ`�` Orono,MN 55356 / <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us r 703 <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: p <br /> Site Address: 11. -0 er y5 ! '.. lam9. <br /> Street Frontage of Property r7 3o / i (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: 0 Wood 0 External <br /> ❑ Needs Alteration/ Sign Face Width: 0 Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: 0 Metal 0 Indirect <br /> ef(Other(specify) <br /> r Top of Sign to Grade: 0 Other(specify) 0 Other(specify) <br /> 4 <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: rale- 1wiev- rfof vr- e; <br /> Address: j '-(j gvousvl laNG City: ( izt,3,,I 111,10 ZIP: 5- <br /> Contact <br /> Contact Person: hvAr-e-a '1'4564 ) <br /> Phone: Z t.)731 5-0 11-- <br /> Email and/or Fax 4\NvQo. y 1,10e f -k w.+ecl•••tnI ( , Cov,,• <br /> CONTRACTOR/APPLICANT: <br /> Name: 5f5/4-5, L'Rit-I M 1 i D of -PI-Yw�cv rM <br /> Mailing Address: ZZcf pc H W Y 55" City: Na m41t GUS ZIP: 4;6-3,4 <br /> Contact Person: /11;c f,a,@ 1 p y o r atC e k <br /> Phone: /Ice - 7(03 -if7S-9+f 6.o 4 Cv lI ( Z- 3'7 , .7 36 <br /> Estimated Construction Value S 7662• 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 /> { -tf lif J/ <br /> KNew Sign Installation Sign Face Lenjth: �� 0 Wood 0 External <br /> ❑ Sign Alteration/ Sign Face Width: !Cat f 0 <br /> )' ,a Plastic R"Internal <br /> Face Change <br /> Total Square Footage: 33,. 7 14 A`Metal 0 Indirect <br /> ❑ Other(specify) • ` <br /> Top of Sign to Grade: = f ❑ Other(specify) 0 Other(specify) <br /> Distance from Botfom, ► /t <br /> of Sign to Grade: �` 1 `t <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />