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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 />ls-,4 .e.li/9' -✓ L i Fs.5�1-Y K ge - &7Glta..� ,. J. S,L-i 5.3 8 z, <br />Applicant Mad Address Phone Ar'39 r rye, <br />Land Owner <br />c 4 ef-960; --1/9 /4, egy, <br />ovation or Legal Description <br />Yen — <br />Phone <br />Sign Message <br />CGt67 0 <br />Sign Dimension - size/height <br />/ Tor•9LD <br />Double Faced Sign <br />(Please Check) <br />Single Faced Sign <br />Illuminated <br />Y ` <br />No <br />Diagram of Sign - Method of Construction & Mounting <br />C ► T G O <br />de <br />JOB VALUATION: /S00 <br />Location of Setbacks f om Property Lines <br />and /or Buildings <br />0 ow 7` *t <br />,z,#c6 -F Tar sulo,'0,5 <br />Permit Fee <br />Surcharge <br />TOTAL $ <br />Landowners Approval Date <br />Applicant's Signature <br />2/ es- <br />License Number <br />//—/Z--- yr <br />Date <br />SPECIAL CONDITIONS <br />Approved for Issuance (City Official) <br />Permit Fee According to <br />Valuation UBC Table 3 -A Fee Schedule <br />SIGN PERMIT VALID FOR 2 YEARS <br />from date of issuance Page 25 Collected by <br />