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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 />SUB oe45 4 n/ .0 /4,Yrs.r -!r l,vc . 6o77 5'4e .r / ..d. <br />Mail Address <br />3er) Ll7.742-6 (urfldAP <br />Applicant <br />Permit No. <br />Expiration Date <br />CPERMAN$ OR TEMPORARY <br />Sfitz -cdur> - 5—so ' <br />Phone y. V -7ryO <br />f'B3 999/ <br />Land Owner <br />Location or Legal Oescnpeon <br />Phone <br />Sign Message <br />Sign Dimension - size/height <br />Double Faced Sign <br />(Please Check) <br />Single Faced Sign <br />Illuminated <br />No <br />Diagram of Sign - Method of Construction & Mounting <br />JOB VALUATION: <br />• <br />Z x t o' Credit <br />Card Face <br />// <br />Location of Setbacks f om Property Lines <br />and /or Buildings <br />8 ` _ Sid z� GD T' <br />Permit Fee <br />Surcharge <br />TOTAL <br />Landowners Approval <br />Date <br />Applicant's Signature <br />2! 8r— <br />License Number <br />/-7-97 <br />Date <br />SPECIAL CONDITIONS <br />Approved for Issuance (City Official) <br />SIGN PERMIT VALID FOR 2 YEARS <br />from date of issuance Page 26 <br />Permit Fee According to <br />Valuation UBC Table 3 -A Fee Schedule <br />Collected by <br />