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/ � <br /> City of Orono <br /> Temporary Sign Permit Application <br /> Mailing Address: Permit number: l� -��D <br /> Og,O,�.O PO Box 66 4 <br /> � <br /> Crystal Bay, MN 55323-0066 Date received: /�3 // <br /> . <br /> a � ��,b, � Street Address: Received by: <br /> 's',�, r� Gti 2750 Kelley Parkway Permit Fee: $35.00 <br /> L�kESH�4'� Orono, MN 55356 <br /> - If mailing, add$2.00 <br /> Main: 952-249�600 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 /> BUSINESS INFORM TION: <br /> Name: ��� �- fC�n�c� l� �� �'���s� <br /> Address: ( 3 �- Cit : � ZIP: <br /> Contact Person: <br /> Phone: �a 2 4�7`L Z ��/2 <br /> Email and/or Fax ��,�„�,��,�,t ,�., +,r��d,,, q rrj,�,� <br /> APPLICANT(RESPONSIBLE ARTY): I <br /> Name: � �,�d <br /> Mailing Address: �^ � f� Cit : r, ZIP: <br /> Contact Person: �:,� �!y��,�� <br /> Phone: p ��� � 2�'�f 1 a���i�c.,,, ce...,•• e �• .• .. "7�f I � /� I�}.l 6-�— <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: <br /> Address: it . <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: �' � L <br /> Type of Sign: Size of Sign: Loc of Si Da n t� I <br /> �#�f. 9 �ast8._ y ' <br /> ❑ Portable Reader board <br /> ❑ Banner <br /> ❑ A-Frame r <br /> : '; <br /> _\ . , r� i .. r 4 � . � j ��� <br /> ❑ Ba�►oon �---' ��. �;�e< J��` C'�l � C �'! � <br /> i �[_ <br /> � Other(specify) �� � � x � ��tjf"� �� �J (�ClU'�'(/ j ; Z � L� <br /> � <br /> �a v��{ S i c�f� � �� � � � �'�s�'- �'� c/u l�'J G'�-���r ���l�'� � <br /> For signs not attached to a building, provide location sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> violation; <br /> • The City may,without notice, remove any temporary sign erected in violation of city,state or federal regulation; <br /> • The si n s , si n su orts or ortable stand must be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: • � Date: � ti <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email and/or Fax Number: <br />