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• City of Orono <br /> Temporary Sign Permit Application <br /> Mailing Address: Permit number: . � <br /> O.¢,D,�.O PO Box 66 __,. <br /> Crystal Bay, MN 55323-0066 Date received: <br /> ,� � a-;�' �, Street Address: Received by: <br /> '��, Gti�' 2750 Kelley Parkway Permit Fee: $35.00 <br /> r'�xE$xo'�,*v Orono, MN 55356 , <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 /> BUSINESS INFORMATION: <br /> Name: ��� f-cx�n S p�3�. C�uc�s <br /> Address: :?_3�tu S_hu,l�rc�_ _ (�.�Fe.----- CitY: N;,,,t�,wy, �lP: ,5.� Z�2, <br /> Contact Person: 5 e�re,r;i�.� U��iar� <br /> Phone: �1,s2-y'►�• 7Soa <br /> Email and/or Fax ��ivers� n�,v�wc. ��c,ih�n.��, nc�' 9�z-ti�� - ac.so <br /> APPLICANT(RESPONSIBLE PARTY): 1 <br /> Name: ��fc,M�a� v��bor, <br /> Mailing Address: Q_O_ t��t yy City: �uvar��- ZIP: �S 3 9"t, <br /> Contact Person: <br /> Phone: <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS�: <br /> Name: <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: D tes Sign to be D'splayed: <br /> ❑ Portable Reader board 3! X � � �ra�k �U�W w� �t <br /> �Banner <br /> ❑ A-Frame <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs not attached 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 ortable stand must be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: �� Date: l��' ��I <br /> For Multi-Tenant Buildings: � <br /> Property Owner or <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: ��e M�U� U r��r <br /> Phone Number: ������(-��� Email and/or Fax Number: `�S Z� ��� " �L SJ <br />