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Re: permit/refund
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3423 Shoreline Drive- 20-117-23-12-0034 Post Office
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Re: permit/refund
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Last modified
8/22/2023 3:49:31 PM
Creation date
12/6/2018 12:08:38 PM
Metadata
Fields
Template:
x Address Old
House Number
3423
Street Name
Shoreline
Street Type
Drive
Address
3423 Shoreline Drive
Document Type
Correspondence
PIN
2011723120034
Supplemental fields
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Updated
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.- � � <br /> City of �rono <br /> Temporary Sign Permit Application <br /> Mailing Address: Permit number: c�I�1,��� <br /> O.Q►„D,�.O PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: �`��.� <br /> a, a, Street Address: Received-by: <br /> '�.�, �titi 2750 Kelley Parkway Permit Fee: $35:00 <br /> ��ESH��'� 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 mus�be submitted. ��/n, � <br /> Incomplet5�/catio�s will be return . l�e�t� �`" <br /> BUSINESS INFORMAT N: � �� <br /> Name: �r� � �-r��..�:��11s �� c_ <br /> Address: lPZs D o�ccl.e Ci : IP: 3� <br /> Contact Person: <br /> Phone: �S�- S'7-/3to� <br /> Email and/or Fax �,�sL,�4.r.��r�sr�.�� y�zze�v�.r�s�L� <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: �r/� �i z�s�c�.s � <br /> Mailing Address: �flo2� r� �D ,/r2� ,Lc /� City��h� /,(./ �,QI P: SS�3�- <br /> Contact Person: �j���l /�"„�� <br /> Phone: L�/Z- �l0�3��-f0 <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: Dates Sign to be Displayed: <br /> ❑ Portable Reader board �DX 3 _ �G-r�� SiCl�S C/u� 2%-,��lt� ��` <br /> [�Banner <br /> ❑ <br /> ❑ t � <br /> ❑ � -� �O � <br /> � -�� �1 <br /> L� "� <br /> � ' ovide location sketch on back of application. <br /> APPLI� � �F� <br /> • ��� 13 �b <br /> � day the violation continues in existence shall be deemed a separate <br /> , � <br /> • l � �l� �/' erecte ' olation of city,state or federal regulation; <br /> • 1 � '� � m ublic view at the end of the ermit eriod. <br /> � <br /> Applicant � J� Date: �=//3 <br /> For Multi-T� <br /> Property O� ,,. <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email and/or Fax Plumber: <br />
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