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Jan.�23, 2013 4. 06PM �I No, 0781 P, 1/2
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<br /> . , . � � �2`� '3 City of Oror�o
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<br /> Temporary Sign Permi� Applicat�on
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<br /> Mailing Addiess: Penillt;numkier:;.;::;,..
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<br /> �,��,� PO Box 66 '.:'"::i�:;.:':.::..... ..... �
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<br /> O O Cr stal Ba , MN 55323-0066 j "
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<br /> �, a, Street Address� �Rec�ivec�by;;;'
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<br /> `� 2750 Kells Parkwa ' .,
<br /> �+ �` Y Y �,Pemiit;Fee:,•: .,: ': ;'�:$35,00:.:;;: : ,. . �+, ..
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<br /> 8� � Orono, MN 55356 I , ! ., � ,
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<br /> , '�:. If msiling;add$2;00,;i;i.:'
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<br /> Main: 952� 49-4600 Fax; 952-248�616 www.ci.orono.mn.us ,: � : . . .:..- ::.: .: ;:-
<br /> This app ication form must be completed in full and all re4uired info�mation must be submitted.
<br /> IIncomplete applications will be retur�ed. (Please print)
<br /> BUSINESS INFORM � �
<br /> Name:
<br /> Address: � Cit • (t S/ ZIP;
<br /> Contact Person:
<br /> Phone: . �
<br /> Email and/or Fax ,
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<br /> APPLICANT(RESPONSIBLE ARTY):
<br /> Name�
<br /> MailingAddr ss: ' ����� - � Cit : ZIP:
<br /> Contact Person: '
<br /> Ph�ne: - . �
<br /> SI N COMPANY/OV�INER(IF NOT SAME AS BUSINESS): � ,
<br /> Na ek:; �
<br /> Ad ress: ' Cit . zIP�
<br /> Co tact Person:
<br /> Ph 1'�z,.
<br /> P JECT INFORMAYION:
<br /> --- - - -7ype of Sign: ' _ Slze of Slgn: . Locatio of Slgn: Dates Sign to be Displayed: _
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<br /> �1J" ,'a`nrrer��Q�(:f�'' '�S��K /ll�.S�� �— � ,(� �/3
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<br /> Q` •Frame r /�I� 1 �;"���
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<br /> ,•� loon `�' J . , 'T_'' 'O ��T I�
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<br /> ther(specify) ' ' -
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<br /> ��� �� :i � Forslgns not_�ttach.ed to a building, provide (oc�.tion sketch on ba�k pf applicatiQn,
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<br /> A'� �ICANT ACKNOWLEDGEMENT: _ , _
<br /> Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate
<br /> `� � '�viola#ion; � � . ... ..
<br /> '''� �' The City may,wi#hout notice, remove any tempora.ry sign erected in violation of city,state or federal regulation;_
<br /> ��:� ��':The si n s si n.su .,orts or able stand must be removed from ublic view at the end oF the ermit eriod.
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<br /> Signature: /'Lfit,�/ Date:
<br /> F,� "�ItL�,Tenant Buflding�:,;' �.,•
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<br /> 'Pro ert �. wner or _ _ __. _ _
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<br /> �Manager Signature: Date:
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<br /> PFir�ted Name of Property OwFi��ror Manager: ;
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