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City of Orono Temporary Sign Permit Application �O . ` Mailing Address: Permit number: ZO� / 1��0 PO Box 66 Crystal Bay, MN 55323-0066 Date received: �' - I ,� Street Address: Received by: 4�IJ� y�, Gfi 2750 Kelley Parkway Permit Fee: $35.00 Z = 7 t �, Orono, MN 55356 qkES H 04 If mailing,add$2.00 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications witl be returned. (P/ease print) SIGN LOCATION ADDRESS: 2-�J1 �I U V�QD BUSINESS INFORMATION: Name: Address: � City: ,�., �� ZIP: �5�y � Contact Person: ,C,a,� Phone: Email and/or Fax APPLICANT(RESPONSIBLE PARTY): Name: �� ,�4,_,,.,,�, MailingAddress: ,,�Z �� <D.�,,.�-t� �„1 Citv: ,.� __ .--, ZIP: �--r-�� Contact Person: ��,,�, Phone: 7G 3 - �_�z -� s-�i SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): Name: Address: City: ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: ❑ Portable Reader board � �� l � � � �'�5 - �� .TV �Banner 5 'S -� lD ❑ A-Frame ❑ Balloon ❑ Other(specify) For signs not attached to a building, provide/ocation sketch on back of application. APPLICANT ACKNOWLEDGEMENT: • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate violation; • The Ciry may,without notice, remove any temporary sign erected in violation of city,state or federal regulation; • The si n s ,si n su orts or rtable stand must be removed from ublic view at the end of the ermit riod. Applicant Signature: �� - � Date: For Multi-Tenant Buildings: � Property Owner or Manager Signature: Date: Printed Name of Property Owner or Manager: Phone Number: Email Address: w:\(applications,license or pertnit applications)�.sign permit-temporary application vl.doc Updated: 03/25/2015