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r <br /> � City of Orono �,,�g.�'� <br /> , <br /> �' Temporary Sign Permit Application <br /> ► . <br /> A ,. MailingAddress: Permit number: 02 ! "���Z� <br /> �-�<VO PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: 3� - f <br /> Street Address: Received by: 1B� <br /> yF � 2750 Kelley Parkway Permit Fee: $35.00 � I <br /> �' Orono, MN 55356 <br /> !�K£S H��� <br /> If mailing, add $2.00 <br /> Main: 952-249-4600 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. 'An <br /> Incomplete applications will be returned. (Please print) `��� � <br /> BUSINESS INFORM ON: <br /> Name: C,,�eh �C�� ' <br /> Address: � �U - Cit : , ZI P:z;�r�j <br /> Contact Person: (F.�LQ <br /> Phone: S�-3i -�'j <br /> Email and/or Fax h � e��� .,�-, c <br /> APPLICANT (RESPONSIBLE PARTY): <br /> Name: �C/)'Le_ <br /> Mailing Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> SIGN COMPANY I OW� (I�NOT SAME AS BUSINESS): <br /> Name: <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: G��� ��' � Z4,w�� <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> ❑ Banner � � �U � 1�� � <br /> ❑ A-Frame —1 � �� � �� <br /> ❑ Balloon <br /> �Othe�(s e i ) � <br /> �ur C, � <br /> ti <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: �C�' � Date: ���7//�Y <br /> r <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 />