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. . City of Orono -�._.� <br /> �___— <br /> Temporary Sign Permit Application ��,,,�'� <br /> �OA,. Mailing Address: <br /> �VO PO Box 66 Permit number: <br /> Crystal Bay,MN 55323-0066 Date received: <br /> StreetAddress: Received by: <br /> ��, �` 2750 Kelley Parkway <br /> �� Orono,MN 55356 Permit Fee: $35.00 <br /> l'4kESH04 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> If mailing,add$2.00 <br /> This application form must be completed in full and ail required information must be submitted. <br /> Incomplete applications will be returned. (P/ease print) <br /> SIGN LOCATION ADDRESS: _ `��� —�to,�'�� �✓ <br /> BUSINESS INFORMATION: <br /> Name: Bi�✓�1S � I'1���.,� <br /> Address: / � D',� Cit : dn��o ZIP: <br /> Contact Person: _L✓� K�14w� <br /> Phone: 6/�gg <br /> Email and/or Fax %��� r��,,,,a.,,�-ci„6 cv�' — <br /> APPLICANT(RESPONSIBLE PARTI�: <br /> Name: ✓�, � �,,� <br /> Mailing Address: �p „S d"R ,s' +1�'/J Cit : ZIP: r? <br /> Contact Person: <br /> Phone: <br /> SIGN COMPANY/ OW R(IF NOT SAME AS BUSINESS): <br /> Name: Iyj.�� �.�i' „S•'�r� <br /> Address: Cit . Z�P. <br /> Contact Person: �„ <br /> Phone: �/� 97R 33 S� <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Dtsplayed: <br /> � Portable Reader board _ �1�C B �—]� �► � <br /> ❑ Banner <br /> ❑ A-Frame <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs not attached to a building,provide/ocation sketch on back of applicafion. <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 tempora sign erected in violation of city,state or federal regulation; <br /> • The si n s si n su orts or I m be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: Date:� �� <br /> For Multi-Tenant Buildtngs: <br /> Property Ovmer or Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number. Email Address: <br /> w.\(applications,license or permit applica�ons)lsign permit-temporary application v1.doc <br /> Updated: 03/25/2015 <br />