2011-00202 - temp sign permit - Laserfiche WebLink

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• c,�� '� . City of Orono . . �' �; � � �� Temporary Sign Permit Application J�� Mailing Address: Permit number: ��,�,j�\ PO Box 66 ��- vU� � �� ,., � I� Crystal Bay, MN 55323-0066 Date received: ��l� �� � ��'��,��;, a,'� Street Address: Received by: �'� a ' �''" �ti/ 2750 Keliey Parkway Permit Fee: $35.00 _ �� L�kESH�4'� Orono, MN 55356 If mailing,add . 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) �� BUSINESS INFORMATION: / , , Name: S ",�,5 / Address: r ci 1 lv Cit : �i/p �c, ZIP: s5 g/ Contact Person: � �, Phone: ( — (� Email and/or Fax � � {�y� � ,r� O APPLICANT (RESPONSIBLE PAR Y): '�// Name: � �6 �lll �'►�CS � Mailing Address: c Cit : ZIP: Contact Person: ,i � Phone: SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS): Name: Address: City: ZIP Contact Person: ''hone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: ❑ Portable Reader board ��C.,� x��r l�{(, �/l,-�� 5 —�� L�J�� �Banner � � , a.,., , ❑ A-Frame _��J��q;-�- ❑ Balloon — � - — — ❑ Other(specify) —. — - -- — For signs not attached to a building, provide location 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�a temporary sign erecte � violation of city, state or federal regulation; • The si n(s , si n su s or ortablt st n must be remov fro ' ublic view at the end of the ermit riod. c Applicant Signature: Date: For Multi-Tenant Buildings: 'roperty Owner or Manager Signature: Date: Printed Name of Property Owner or Manage� Phone Number: Email and/or Fax Number: