|
City of Orono
<br /> � Temporary Sign Permit Application
<br /> �O� Mailing Address: Permit number.o�'/� �`-r�
<br /> o PO Box 66
<br /> Crystal Bay, MN 55323-0066 Date received: �- !! -�c�'
<br /> Streef Address: I �Q(� � Received by: vJ�.
<br /> y� � 2750 Kelley Parkway �(�,V�v„ ` Permit Fee: �35.00
<br /> t L Orono, MN 55356 V"" ,(�,� Y-
<br /> "�kFs H a4�` `1
<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)
<br /> SIGN LOCATION ADDRESS: �y`�" .���s� z .,.._; ;r�
<br /> BUSINESS INFORMATION: ,
<br /> Name: 't:..:: !�:�� C ��,.b
<br /> Address: '��;�t�i `s�,.� ;> �.u. C� Cit '� • ' -< �
<br /> y: ,�:.�� ti .. ZIP: , �r
<br /> Contact Person: ;a; ,�„� j'1 t���c�u '
<br /> Phone: t. ; � �:., %. _ ; a�Yi
<br /> Email and/or Fax �:•i u,,� �.,, t��� r�, ���5 _ �,, ,,,,
<br /> APPLICANT (RESPONSIBLE PARTY): ! -: �
<br /> Name: l.;�i ��..�r�... i . ,c.� � ' +� � �� �,- 3'3,,�� � �v� `�
<br /> Mailing Address: ; . ; S��- �; ' <,,,�,+- _ � � � City: (ti\t��c, ZIP: �S�„�
<br /> Contact Person: , , � `�,�
<br /> Phone: �,��,r �� (�,E'j �'1
<br /> - ,
<br /> SIGN COMPANY/OWN R (IF NOT SAME AS BUSINESS):
<br /> r , n ; � ' .
<br /> Name: , �
<br /> Address: � ;�� � ' t , . ' ' Cit ZIP: � '
<br /> Contact Person: D., � ,�,,�,�„�,, t
<br /> Phone: G,-11• �►l� �i�►3
<br /> PROJECT INFORMATION:
<br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
<br /> '� r. � r
<br /> � Portable Reader board i, '/. � {, , :' .� '��_�;,�c-��� , ����' / � �l� .��
<br /> ❑ Banner ^��3 ��Y � 4�z3�r�
<br /> ❑ A-Frame
<br /> ❑ Balloon
<br /> ❑ Other(specify)
<br /> For signs not atfached to a building, provide location sketch on back of application.
<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 temporary sign erected in violation of city, state or federal regulation;
<br /> • The si n s , si n su orts or ortable stand must be removed from ublic view at the end of the ermit eriod.
<br /> _,.-� �
<br /> Applicant Signature: �� �1�;��� �.4 Date: �� ��' iw
<br /> For Multi-Tenant Buildings: �
<br /> Property Owner or Manager Signature: Date:
<br /> Printed Name of Property Owner or Manager: �..�i, ,�� '�', E
<br /> Phone Number: �,� • S S�' ft;�`�'� Email Add�ess: :j N � � �J:J� `J• CI '0"'�
<br /> w:\(applications,license or permit applications)\sign permit-temporary application v1.doc
<br /> /
<br /> Updated: 03/25/2015
<br />
|