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Ap r. 17. 2014 11 :49AM No. 0637 P. 2 <br /> . . <br /> City of Orono <br /> Temporary Sign Permit Applicatian <br /> MailingAddress: Permilnumber: —�3 J <br /> ��Q Cry sal Bey,MN 55323-0066 Dale rec�ived� �'�7� <br /> Sbeet Address: F�eceived by: <br /> y ��C` 2750 Kelley Parkway Permlt Fee: $35.00 X i/ <br /> i � Orono,MN 55356 <br /> �k SHO�`� <br /> If mailing�add$2.00 :�' <br /> Main: 952-249-460o Fax; 952-249-4616 www.cf.orono.mn.us - <br /> --- _ ....... _. <br /> Thls application form muSt be completed In full and ali required information must be submilted. ' <br /> Incomplate appllcatlans wlll be returned. (Please print) 6 <br /> BUSINE$S INFORMA IDN; <br /> NBme' b..r ���..� E�v� <br /> Address' /,�-� ty r ;,,Q Ci : Orn ZIP: <br /> ContacE Person: �/ti. ,,,,,,,,.� <br /> Phone� E!�-�Bds�-��i��3 <br /> Email andlor�ax <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: �� v � �- 4 <br /> MailingAddress� /b S S�Z S� k� /�l7 Cily: y✓►�9� ZIP: ��' �_ <br /> Contact F'erson: ^ <br /> Phone: �I�.;��� - i��� <br /> SIGN CQMPANY I OWNER(IF NQT SAME AS Bl1SINESS): <br /> Name� , // C.� �' <br /> Address: Cif : ZIP: S`S' <br /> Contact Person: o x, <br /> Phone: 6�/2. ��7� � .�,�`�� <br /> PROJ�C'C IN�ORMATION: <br /> Type of$lgn: Slze of Slgn� Location of 51gn� Dates SiBn to be Displayed: <br /> f�) Portable Reader board !�7� � S��'��-�-�� ' 1 ��1� �7 <br /> p sanner ►�111Q Ul <br /> ❑ A-Frame _ � "`�lf — � `1" <br /> � 8alloon <br /> ❑ Olher(speclfy) <br /> For slgns not attached to a building,proviafe location skefch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> . Violation of Cily Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> vlolatlon; <br /> . The Ciry may,wilhout notice,remove any temporary sign erected in violatlon of c1ty,slate or federal regulatlon; <br /> • The sl n s ,sl n su orls or ortabie sland mus�be remaved trom ublic view at the end of the ermit eriod. <br /> App[icant Signature: Date: � 7 � <br /> �or Multl-Tenant Bulldings: <br /> property Owner or <br /> Manager Signature� Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email andlor Fax Number: <br />