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1 <br /> ♦ <br /> City of Orono <br /> Permanent Sign Permit Applicatio <br /> Mailing Address: �j0//-j 1/�� <br /> O�,D,�O PO Box 66 Permit num . <br /> � <br /> Crystal Bay, MN 55323-0066 Date received: � <br /> ��`"'`' Received by: <br /> ,� , �� � s, StreetAddress: <br /> �' � �' ''�7� ti 2750 Kelle Parkwa $ � �rn <br /> c� � Y Y Perrnit Fee: ,v� <br /> t'�gESHo�'� 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: ;�L13S S},e;: ��,�„�, �;, <br /> Street Frontage of Property (feet) <br /> Existing Sign: Size of Existing Sign: Existing Materials: Existing Illumination: <br /> �' Needs replacing Sign Face Length: �� ❑ Wood ❑ External <br /> ❑ Needs Alteration/ Sign Face Width: �ci, ❑ Plastic ❑ Internal <br /> Face Change <br /> Total Square Footage: �� � ❑ Metal ❑ Indirect <br /> ❑ Other(specify) <br /> Top of Sign to Grade: ��► � Other(specify) �� Other(specify) <br /> Distance from Bottom � ' �����I� ���r,e, <br /> of Sign to Grade: <br /> OWNER INFORMATION: <br /> Name: N o,vr,:�� �.cr�-a,5' <br /> Address: �� y � ,�, �� . �r; City: ���`.-.,,� ZIP: SS'3�i� <br /> Contact Person: ..�. \� r. <br /> Phone: (�12 > >�- cZ�3 <br /> Email andbr Fax ��..,-�—'C��,�.r�_��Q�.n�.i,,`<� � .L���c.;,� <br /> CONTRACTOR/APPLICANT: <br /> Name: o.�-�.1��c����: <br /> Mailing Address: 1�� �Ri'+K..I�. �.�.�s �C�- Clty: 81,�,,,�,�e�t� ZIP: ss�3'� <br /> Contact Person: " �:,,� �—�•p <br /> ��r <br /> Phone: 1,:1 L-`:��-�11.3 - <br /> . r--. <br /> Estimated Construction Value$ -�`7� * *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: �= , ❑ Wood ❑ External <br /> 1 <br /> ❑ Sign Alteration/ Sign Face Width: � � Plastic ❑ Internal <br /> Face Change t� <br /> Total Square Footage: � J '� Metal ❑ Indirect <br /> ❑ Other(specify) � <br /> Top of Sign to Grade: � � ❑ Other(specify) � Other(specify) <br /> Distance from Bottom V�'' ' {�1v.+.,��,.,.� F��`� �C�,� <br /> of Sign to Grade: L�C,, � ^" <br /> A Minnesota State Electrical Permit is required if electrical work is proposed. <br />