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. ` .••_ <br /> City of 4rono <br /> Temporary Sign Permit Application <br /> /�_--_�� Mailing Address: Permit number: ' C7���-�:—��� <br /> O�o,�.a PO Box 66 <br /> Crystal Bay, MN 55323-0066 Dafe received: <br /> a � � �, Street Address: Received by: !Z���-aod�7/ <br /> '�.�c, �ti�;� 2750 Kelley Parkway Permit Fee: $35.00 <br /> �9�ESfiOg'% Orono, MN 55356 <br /> —---`'" If mailing,,add$2.00 <br /> Main: 952-249-46Q0 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and a!I required information must be submifted. <br /> EncompEete applications wilf be returned. (Please print) <br /> BUSINESS INFORMATION: <br /> Name: Fireworks, Freedom, and Fun <br /> Address: 3806 Gables Court, Eau Claire, Wf 54701 <br /> Contact Person: Jordan Ruzicka <br /> Phone: (763)213-44.99 <br /> Email and/or Fax jordanruzicka@hotmail.com <br /> APPLICANT(RESPONSIBLE PARTY�: <br /> Name: Quentin Nelson <br /> Mailing Address: 3$06 Gables Court, Eau Claire, WI 54701 <br /> Contact Person: Jordan Ruzicka <br /> Phone: (763) ?13-4499 <br /> SIGN COMPANY I OWNER(IF NUT SAME AS BUSINESS): <br /> Name: same <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size af Sign: Lacation of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> 3'x 20' <br /> anner Side af tent 6-25 thru 7-5 2009 <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 /> • Violatiort of City Ordinances is a misdemeanor. E�ch day the violation continues in existence shall be deemed a separate <br /> violation; <br /> • The City may,without notice, remove any tem rary sign erected in violation of city, state or federal regulation; <br /> • The si n s , si n su orts or a e s st be removed from ublic view at the end of the ermit eriod. <br /> 51(a�2oo <br /> Applicant Signature: Date: � <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: S�d�a Pyha�V�� <br />