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A)6( -rN- Vft OIJ 006 <br /> City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: <br /> 0 D �T Cr Box 66 <br /> / � Crystal Bay, MN 55323-0066 Date received: <br /> A*24,(0.A.4,''r. r a Street Address: Received by: <br /> 2750 Kelley Parkway Permit Fee: $ <br /> Esxo% 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: WO 00 y s i.l 60010— N• <br /> Street Frontage of Property NO ' (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 /> Of NO 51 0 <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: r'E AA fiecn,C <br /> Address: 55) D1,C1 C4 a io . City: d p.0 Rjo ZIP: <br /> Contact Person: gr 7c ,„,,_ 'r,-e�w.(O �e B/4vECZ Pc.crGW g L b <br /> (p <br /> Phone: Ge(( (z_ 797 #j 6 3 <br /> Email and/or Fax (=AI 7 6 3 - 17 Z " g 7 0 7 <br /> CONTRACTOR/APPLICANT: <br /> Name: S (6/34 O/UI-1w. )'fE ►7 <br /> Mailing Address: Z Z L 0 0 Hwy 55- City: Atiue 1/ 'AA ZIP: 553 0 <br /> Contact Person: !IA <cj a e\ D vO k QcE_K <br /> Phone: t Ca 6(2 -396 - 763( nE(cc_ - 763- <} 7f-q`fC6 c— 763-1(73-9160 <br /> Estimated Construction Value$ ( 7 6 0 6 * ( s(6,y,,5) *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: I Z I D�$'10 Wood 0 External <br /> � <br /> ❑ Sign Alteration/ Sign Face Width: 1 r 0 Z(Plastic j''Internal <br /> Face Change 44-. 7 7 <br /> Total Square Footage: ar Metal 0 Indirect <br /> ❑ Other(specify) " i <br /> Top of$ign to Grade: D 0 Other(specify) ,, 0 Other(specify) <br /> Distance from Bottom ,, i <br /> of Sign to Grade: I <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />