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` City of Orono <br /> � � Temporary Sign Permit Application <br /> �O�O Mailing Address: Permit number: ����' ���� <br /> PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: ,3 '"Z� �)�O <br /> Street Address: Received by: �(� � <br /> y ; 2750 Kelley Parkway C�I!�n d�a Permit Fee: $35.00 <br /> `� �' Orono, MN 55356 <br /> ��kFs H o��` <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. � <br /> Incomplete applications will be returned. (Please print) 6�V'- ��1�Q <br /> SIGN LOCATION ADDRESS: ��y ( �o+r���- !�✓ � <br /> BUSINESS INFORMATION: � <br /> Name: BroL✓�'ls -� �'✓��r� <br /> Address: / + f�,i Cit : dr„»o ZI P: <br /> Contact Person: L��C�. Kv�g.,,,� <br /> r-ii�ne: 6/ � �6`: <br /> Email and/or Fax L��{,��f-,�,,.br �l„�, a� <br /> APPLICANT (RESPONSIBLE PARTY): <br /> Name: ✓�, ., �� <br /> Mailing Address: �p ,.,f d"R s� �'/J City: ,� ZIP: irj $54oZ <br /> Contact Person: <br /> Phone: <br /> SIGN COMPANY/OWN R(IF NOT SAME AS BUSINESS): <br /> Name: /y1•� C,��' .S�sn <br /> Address: City: ZIP: <br /> Contact Person: �M <br /> Phone: �'j,� q-�B .�33 S3 <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> �j Portable Reader board y� {� �''�� �y �� <br /> � <br /> ❑ Banner .�'1i��� `T''�I ��1� <br /> ❑ A-Frame <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs not attached fo a building, provide location sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City Ordinances is a misdemeanor. Each day the violation contin�es 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 o I m be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: Date:� �� <br /> For Multi-Tenant Buildings: <br /> Property Owner or Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email Address: <br /> w:\(applications, license or permit applications)\sign permit-temporary application vl.doc <br /> Updated: 03/25/2015 <br />