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,. `Tate Ikr <br /> City of Orono For Staff Use Only <br /> i 0¢4*0 P.O.Box 66 Date Received ,C 2 --0 N' ,7.0 <br /> 2750 Kelley Parkway Permit# �,� 1 •• f <br /> I �x / Crystal Bay,MN 55323 Buildin_;Approval mob. <br /> \ e (952)249-4600 Zonm Approval fAIM i'I.I <br /> Zon g District: _1- <br /> RECEIV t <br /> CITY OF 0`ONO- SIGN / NERAL PERMIT <br /> (All permits must be approv-. by the Buildin:Official and the Zoning Department) 'If"- <br /> ^ - ?aid <br /> AV-e (( <br /> Job Sit• Ow 1 •r Information ZONO <br /> S ? `JS <br /> Site Address: CSC) Oda C r 1S \Q• oo... Email: _ <br /> Owner: R\t p,An Co tm.v Q-rt-e S U S, c . Home Pho 2- 26 '°4r 0,0. d- - <br /> Mailing Address: SO Soot 044` $ i s i-e-- 30o Work Phor , <br /> City, State,Zip: pn \vnt_c.PoG S(n-1 IJ .St.-1 O 3 Fax: (7, i <br /> Con actor/Applicant In I rmation <br /> ' <br /> Contractor/Applicant: :tAr.Ter . ' aie\ C ,cu,.:)-e.,S}State .'cense#: <br /> Address: Sou 444' .4-‘,4.,e4.- c.si 30 o Expirati• Date: <br /> ln"...-- son: T-� <br /> City, State,Zip: t ;vw . . , i S Nk.t S S`t o 3 � <br /> Business Phone: , - Lt q. -Li,t'o z o -: Co 4-- - \ -- It(e'n <br /> Fax: (0))._-`ko, - .* • ,IF.r pcw"Co Qo.-t-.J ec .Lo <br /> fi ' <br /> - � , � //a//L i <br /> 4 , / V s g <br /> All work is to be done , / 'Minimum i ermit fee=$35.00 <br /> Work Intended: Sits I/0 <br /> (Check One) T -7// 'displayed: to <br /> Sign#1: <br /> Sign Face Length _ ;quare Footage: <br /> Top of Sign to ade: _ tde: <br /> Materials: ood <br /> Illumination: Extern <br /> Sign 1041 1./ i <br /> Sign FaceLength: 1LI- _„.u, oquare Footage: <br /> Top of Sign to Grade: '1 __..,,,, uom bottom of sign to grade: JJ f It <br /> Materials: Wood _ rlastic _ Metal _ Other: 3c'ouv‘d 11 i411 <br /> - <br /> Illumination: External N4 Internal _ Indirect _ Other v4- aSov-1 ild <br /> *Attach additional sheets if necessary <br /> Please Note: A Minnesota State Electrical Permit is required if electrical work is proposed. <br /> List Signs to be Removed (if any): <br /> Square Footage: Number of Signs: <br /> TEMPORARY SIGNS: <br /> • No more than 4 temporary sign permits may be issued per calendar year for not more than 10 <br /> consecutive days (including weekends). <br /> • No single sign shall exceed 32 square feet. <br /> -over- <br />