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w <br /> ��•• City of �rono <br /> . Temporary Sign Permit Application <br /> Mailing Address: permit number. 020��—OB3q <br /> Og,�,�.0 PO Box 66 <br /> Crystal Bay,MN 5532�006G Date received: J�-27-�D <br /> � =`�. F Street Add►ess: Received by: N S <br /> �,, 2750 Kelley Parkway Permit Fee: �.� <br /> r•qg�Ho�,'� Orono,MN 55356 <br /> If mailing,add$2.00 <br /> Main: 952-249-r4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required infannafion must be submitted. <br /> Incomplete applications will be retumed. (P/ease print) <br /> BUSINESS INFORMATION: <br /> Name: Fireworks, Freedom, and Fun 3�Z3 �'�'t,Gr`e�Li�.e. ��" <br /> Address: 3806 Gables Court, Eau Claire, WI 54701 <br /> Contact Person: Quentin Nelson <br /> Phone: 763-442-7676 <br /> Email and/or Fax quentnelson(c�Qmail.com <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: Quentin Nelson <br /> Mailing Address: 3806 Gables Court, Eau Claire, WI 54701 <br /> Contact Person: Quentin Nelson <br /> Phone: 763-442-7676 <br /> SIGN COMPANY 1 OWNER(IF NOT SAME AS BUSINESS�: <br /> Name: same <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: �ocation of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> 3'x 20' <br /> X❑ Banner Side of tent 6-25 thru 7�'i.2009 <br /> ❑ A-Frame <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 confinues in existence shall be deemed a separate <br /> violation; <br /> � <br /> • The City may,without notice, remo e an tem a sign erected in violation of aty,state or federal r�egulation; <br /> • The si n s ,s n su rts or � le s d m st re oved from ublic view at the end of the rmit riod. <br /> Applicant Signature: 1 ��' � 'i Date: �-2�j��� <br /> For Multi-Tenant Buildings: <br /> Property Owner or I ` <br /> ManagerSignature: �; L�OS�C� ICQSC'1 Date: �{-�Z-(U <br /> Printed Name of Property Owner or Manager: �OD��n�l�S�inPi�-l l?i'��D � ��Q YI �'�'(,�b�� <br /> L> l� .� � S �2.7�1 C� S ��� S�z e ��s p,4sl- c�e�S <br />