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City of Orono <br /> Temporary Sign Permit Application <br /> MailingAddress: Permit number: p�—d�.3� <br /> O.Q►„�,�.0 PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: <br /> ��.,M� 2� <br /> �, ' ;' �,, StreetAddress: Received by: <br /> ��; � <br /> '�,�, � � �ti 2750 Kelley Parkway Permit Fee: $35.00 <br /> l9kESHp¢�' 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�ull and all required information must be submitted. � <br /> Incomplete applications will be returned. (Please print) <br /> BUSINESS INFORMATION: 3�-a� �/70u�'�Ltvt�� �/'�✓c <br /> Name: lti���t.-; 1��1 � .��,�� �k,t1 �`�.� 1�'�vt i� � �11 �� ��_;t1� � :� t 1:��; �� � �; <br /> Address: �� `���c a ti ��,��1 i �� � , " Cit ;'�U' ,� . �, � ZIP: ���_,`� � <br /> Contact Person: -- <br /> Phone: � - 1�� - 22 <br /> Email and/or Fax <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: �� �,�t� � �� !t � '�C �, �4� srt �v!� �'K `., � !�1�_, � <br /> Mailing Address � �` r= , �,,, � � �, - �� � Ci :���� "I'"1' ���� � „ ''!�'w" ZIP: " ������i�-' ,� <br /> Contact Person: � � � t � � � <br /> f'�� �l�'I� I T.l�C��� I�1 i <br /> Phone: � "; 'U(`-=�;�L}(; <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: -�% ��1�� �...i'� ��1 �_x; 1- � '(�� `�t;�' ���i=`, , ��1�� <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 /> �Banner � �i1'� �� ��� L� �n.�� <br /> � /�� .�— nd _ ; �0 <br /> ❑ A-Frame _� �V � � � <br /> ❑ Balloon v� I ��� <br /> ❑ Other(specify) W( 1•wr P- �'� <br /> 5 -�l - �Z <br /> For signs not attached to a building, provide location 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 tempora sign erected in violation of city,state or federal regulation; <br /> • The si n s , si n su orts or ortable st mus e removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: Date: � _l� �u�� <br /> For Multi-Tenant Buildings: �. �p�1(n( ��p Y) <br /> Property Owner or � ���� ��C'-YW��Yt� � L� T <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager. 1-Y-FG In ��-�.�'���' <br /> Phone Number: '��O — � �2�2-� Email and/or Fax Number: <br />