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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 />Permit No. <br />Expiration Date <br />OR TEMPORARY <br />s(/Bu26Ar/ i4 *-,N4 it/C • X077 /AKc' 6Gsue Jlt-t <.,d. 4 -Zr 12 S S?JB'z <br />Applicant Mail Address Phone y39-7 rya <br />Land owner 3� j /P11-g: <br />.egal 0� npticd /a �-✓ .4� 546'3, 2591 / Phone <br />Sign Message <br />C / T 6 <br />Sign Dimension - size/height <br />/9- <br />Double Faced Sign <br />(Please Check) <br />Single Faced Sign <br />Illuminated <br />No <br />Diagram of Sign - Method of Construction & Mounting <br />Aas <br />C l re.° <br />gsiste .ib Pole. <br />v. <br />JOB VALUATION: /0/ opt <br />Location of Setbacks f om Property Lines <br />and/or Bu (dings <br />St- ,c7-. <br />$7 e Y <br />tr <br />1/ <br />Permit Fee <br />Surcharge <br />TOTAL $ <br />Landowners Approval Date <br />Applicant's Signature <br />Z /Oar - <br />Ucense Number <br />// -1Z- FT <br />Date <br />SPECIAL CONDITIONS <br />Approved for Issuance (City Official <br />SIGN PERMIT VALID FOR 2 YEARS <br />from date of issuance <br />Permit Fee According to <br />Valuation UBC Table 3 -A Fee Schedule <br />Page 23 Collected by <br />