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_ � •• City of Orono Temporary Sign Permit Application O Mailing Address: Permit number: �C/��—vc.-�� PO Box 66 � � Crystal Bay, MN 55323-0066 Date received: 5�U�l � Sfreet Address: Received by: y G� 2750 Kelley Parkway Permit Fee: $35.00 `� Orono, MN 55356 `�'�£S t►�4'� 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 will be returned. (Please print) SIGN LOCATION ADDRESS: BUSINESS INFORMATION: Name: /1� k A1,o,,�2, o a�.v S'��35 [ Address: Cit : ZIP: Contact Person: Phone: � 2,?2. Email and/or Fax �,�„r ,�,�„ �2 �1�,,� APPLICANT (RESPONSIBLE PARTY): Name: Mailing Address: City: ZIP: Contact Person: Phone: 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 G�]'Banner ��/� / /Ly ❑ 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 City 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 ortable stand must be removed from ublic view at the end of the ermit eriod. � � / � �/� 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 permit applications)\sign permit-temporary application v1.doc Updated: 03/25/2015