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CITY OF LITTLE CANADA <br />515 East Little Canada Road <br />Little Canada, MN 55117 <br />484 -2177 FAX 484 -4538 <br />SIGN PERMIT APPLICATION <br />Tittle Canada Canadian nays 514 Tittle Canaria Road <br />Applicant Mad Address <br />City of Little Canada - Fire Department, 325 Little Canada Road <br />Permit No. <br />Expiration Date <br />PERMANENT OR <br />Land Owner <br />Location or Legal Description <br />484 -2177 <br />Phone <br />484 -2722 <br />Phone <br />Sign Message <br />Canadian Days - August 7, 8, 9, 1998 - Spooner Park <br />Sign Dimension - size /height <br />4 foot by 8 foot <br />Double Faced Sign <br />x <br />(Please Check) <br />Single Faced Sign <br />Illuminated <br />Y2R <br />No <br />Diagram of Sign - Method of Construction & Mounting <br />g' <br />/ I <br />JOB VALUATION: <br />i <br />Location of Setbacks f om Property Lines. <br />and/or Buildings <br />Corner of Little. Canada Road /Centerville <br />Road <br />Adjacent to the Road right -of -way <br />Permit Fee <br />Surcharge <br />TOTAL $ <br />Landowners Approval Date <br />�./ <br />airaiiiara <br />Applicant Ignature Date <br />License Number <br />SPECIAL CONDITIONS <br />Approved for Issuance (City Official) <br />SIGN PERMIT VALID FOR 2 YEARS <br />from date of issuance <br />Page 126 <br />Permit Fee According to <br />Valuation UBC Table 3 -A Fee Schedule <br />Collected by <br />