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` �' City of Orono <br /> Temporary Sign Permit Application <br /> /�� ` Mailing Address: Permit number: <br /> i �-�N\ Po aoX ss <br /> % , Crystal Bay, MN 55323-0066 Date received: <br /> ! , { I Received by: <br /> Street Address: <br /> � � � 2750 Kelley Parkway Permit Fee: $35.00 <br /> `� �� Orono, MN 55356 <br /> `�'�FS Hv�� <br /> If mailing,add$2.00 <br /> Main: 952-249�3600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. ����✓' <br /> Incomplete applications will be returned. (P/ease print) <br /> BUSINESS INFORMATION: <br /> Name: �-}U( Iu�Gtu �{�l zy1 S{�'r� <br /> Address: 33 i. � ��'��� � bY• Ci : Q,y�aW� z�P: 553 <br /> ContactPerson: aYv vd - e�P..vx, Y"- <br /> Phone: a- - SS���. <br /> Email and/or Fax Cavat.fincld C� iq�3�.- qv►'�a-+ • G�v+'� <br /> APPLICANT(RESPON IBLE PARTY): .n n g . <br /> Name: {i - Qf�� 'a� �-Vl �•t,� (q..� Doc �Au1s U � <br /> Mailing Address: _h"a S o►�¢�i'n� Y. Ci : ZIP: �5 <br /> Contact Person: � ��JQ�,ti/ <br /> Phone: l.�1 a- 4 I$- -1�-}58 <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: <br /> — —-__-- — — -- -- <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> �,.,( ; ) � X Q r t;YV�i� ��IDYetin n `c� I <br /> I1V Banner �t D fT�►-f� � �- 1 3 <br /> � � rr. ai�lol G� p�(v�„p��41. <br /> ❑ A-Frame � <br /> �. 1 v� qy�l�i GlX Q.A. <br /> ❑ Balloon �) <br /> ❑ Other(specify) <br /> For signs not attached to a building, provide/ocation 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 rt ble stand must be removed from ublic view at the end of the ermit riod. <br /> Applicant Signature: Date: � �j' — f� <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: Ct-VG( I Uo�e'� <br /> Phone Number: "1�o�' '1�f • �i �j�'oL Email and/or Fax Number. l;C1,VD I•�G�O���1�l� Gm a-d�, �m <br />