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C v5fi iEVP1 ioN BcILviNG <br /> City of Orono <br /> Permanent Sign Permit Application <br /> Mailing Address: Permit number: <br /> O� <br /> ,O Jar PO Box 66 <br /> 0 Crystal Bay, MN 55323-0066 Date received: <br /> Received b <br /> A ' � s, Street Address: Y' <br /> sS4t, ,l�,t�� otiti 2750 Kelley Parkway Permit Fee: $ <br /> ESHo4* 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: �� ©(�F'/n�� S,�I r <br /> Site Address: y ,jr a. p . <br /> Street Frontage of Property Z$p / (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> ❑ Needs replacing Sign Face Length: 0 Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: 0 Plastic 0 Internal <br /> Face Change <br /> Total Square Footage: 0 Metal 0 Indirect <br /> 112rECt-her(specify) <br /> Top of Sign to Grade: ❑ Other(specify) ❑ Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: <br /> OWNER INFORMATION: nn <br /> Name: �e yl�ca <br /> Address: 5-50 rpId Cels S'oty a ,AJ . City: ZIP: <br /> Contact Person: 6kr;0,, '"irepnL)eN\ - ai/WEfZ".€ iG0 Bv1!-D <br /> Phone: C'e I Z--7961 - h 3 <br /> Email and/or Fax 71:,3 97 z 126 7 <br /> CONTRACTOR/APPLICANT: <br /> Name: Sf 6,N9 - - <br /> MailingAddress: Z24O0 f) u.)\i' ;c City:H'- ( t Arg ZIP: 5-53Lf0 <br /> Contact Person: P;c ke I 9 V61-Itc�E kPhone: y ce\ &(7.- 316' 763(0ce 766 3 - 4f 7d-9'f(o0 r-4x 7",63 'f79- z-e3 y <br /> Estimated Construction Value$ 7( '6 D ^ *k4-77x.)s * 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 I O.$" 0 Wood 0 External <br /> O Sign Alteration/ Sign Face Width: & <br /> r Plastic ZrInternal <br /> Face Change <br /> Total Square Footage: 770 L Metal 0 Indirect <br /> O Other(specify) <br /> Top of Sign to Grade: Z0 r ❑ Other(specify) 0 Other(specify) <br /> Distance from Bottom <br /> of Sign to Grade: Of <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />