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,, , . ��� 3 S���e l��r�. .�j` �':`v� <br /> � City af Orono <br /> Tempora Si n Permi# Application <br /> ,g p� �r�'�'�s: �,�c�,�: • —D� � <br /> O O cn�tai asr,MN���ooss t�reo�: � /� <br /> � S1h+�et Aakir�ss: ��= <br /> �6� 2750 Keqey Parkv�ray Pertnft Fee: �i5.00 <br /> Orono,MN 55356 <br /> Main: 95�2 249-460Q Fax: 952 249-4616 www.a.orono.mn.us ��'��� <br /> This apptrc�fion form must be c�mpfeted in full and all required infotmation must be sut�mit�ed. <br /> Incomplete applicatio�will bs�med. (Please prn►t) <br /> BUSINESS INFORMATION: <br /> Name: .�1/�i/l,E' �??/�//f��/11�T GGea /'�/� sTtL�S�SS' �'�'G�.b.�.�S <br /> Address: • C' : ZIP: ?o <br /> Cont�ct Person: �.vT�i✓�Il�o�v <br /> Phone: 7G 3—�!S/L_ 7G 7� <br /> Email and/ar Fax ¢C�,,vT��t4�/ �6�A�st. c�OH'1 <br /> APPUCANT(RESPO BLE PART1�: <br /> Name: ��[/ p'!c/ <br /> 1Aailing Address: C' . �!'iZIP: G <br /> Contact Person: <br /> Phone: _���--4o�f Z - �G 7 G <br /> SIGN COMPANY/OWNER(IF NOT SAME A8 BUSINESS): <br /> Name: <br /> Address: , Cfii: ZJP: <br /> Contact Person: �TTr�- <br /> Phone: <br /> PROJECT INFORMATION• <br /> Typs of Slgn: �e afi Slgn: LocaRion c�Sign: Datss S�n M be Displayed: <br /> ❑ Portable Reader board <br /> � Barmer �L .�x z o $/Di�s oG T�� .J�u�v� �.Y- .T u G�/ �=' <br /> ❑ A-Frame <br /> ❑ �� <br /> I� �e�fSP�Y) <br /> F�AliS O�vT��'!'• <br /> For sfgns not attached!�a building,pr�vide/ocation skeir�►�back of app/"rcation. <br /> APPUCANT ACKNOWLEDCEMENT: <br /> • Yiolation of City Ordinanoes is a misdem�rwr. E.�h day the vialation co�tues in mds�x� shall be dee�ned a seperaUe <br /> violation; <br /> • The City may,without notioe, temPorarf+si9n er+ected in viola�on of city,sta6e a�fedetal regulatron� <br /> � The ' S,st s rts must be rerrroved from ic view at!he end of the <br /> APPlicc�nnt Signature: Dafie: �"�. ��� <br /> . For Yutti-Tenant BuBdings: <br /> Propefiy Owner or <br /> Manager Signature: p�; <br /> Printed Name of Property Owner or Manager: .�' � <br /> Phone hlumber. ���• 7��� `�/�il Email and/w Fax Number: �f��-�/��(/S.-,�Q�/Jl. L�O� <br />