Laserfiche WebLink
0 -MoNA fi S, 90 y City of Orono <br /> or. Fog Ef1Cri S1 DE_ <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: dog-cost* <br /> 6/1:6-- <br /> O� Crystal Box 66 <br /> Bay, MN 55323-0066 Date received: (o/61/Z. <br /> A 1 14:"A A. Street Address: Received by: �S <br /> �kt �' � <br /> ` hip ' Gtiti 2750 Kelley Parkway <br /> Orono, MN 55356 Permit Fee: $ <br /> Esso4`� <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 /> Yr' <br /> GENERAL INFORMATION: 6 <br /> Site Address: 5 \ Val 0 A) <br /> Street Frontage of Property (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 0 Internal <br /> Face Change <br /> Total Square Footage: 0 Metal 0 Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: 0 Other(specify) 0 Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: ( <br /> Name: 5 Tcl�� <br /> AN c < al <br /> Address: 5 -c, 00 Cr7 S� Po _ 0 City: C'pr(k® ZIP: <br /> Contact Person: 13r'0.te 'ire 14tiY1)-Q..i _ finvEg 1)EflGi✓ bvtt-9 . <br /> Phone: Ce 11 6( &- 7c/et • cc/i1 . <br /> Email and/or Fax F"41 7 6 3. '7 2. 570 7 <br /> CONTRACTOR/APPLICANT: <br /> Name: 5-(6X5 cab I--c ►M i <br /> Mailing Address: 22'foD /ROY S-9"-- City: /7 g ) ZIP: 6-53 '1I <br /> Contact Person: ,�4-e( p U 6 P---/It C EY <br /> Phone: , (re 6f Z 3R6' 763{ fee__ 7C 3 if 7g1'f( 0 Ffia 7,0 1(7g-z'3'{ <br /> Estimated Construction Value$ ( 7r 6 j5p - .(0 rpm) * 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 /> / <br /> [ New Sign Installation Sign Face Length: V Q0 Wood 0-External <br /> U rr <br /> O Sign Alteration/ Sign Face Width: f/�, 6� 14 Plastic ail- Internal <br /> Face Change K+. <br /> Total Square Footage: 29•7 7 E Metal 0 Indirect <br /> 0 Other(specify) . <br /> Q <br /> Top of Sign to Grade: U ti, 4q11 0 Other(specify) ❑'Other(specify) <br /> Distance from Bottom„�� r <br /> of Sign to Grade: <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />