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+'t . �. <br /> . , � <br /> City of Orono <br /> Temporary Sign Permit Application�� -� ��qs <br /> �O�O Mailing Address: Permit number: ' � 7 <br /> PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: I 7�� <br /> Sheet Address: Received by: � <br /> y G� 2750 Kelley Parkway Permit Fee: $35.00 <br /> `� Orono,MN 55356 <br /> l7'PES H 0�� <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 must be submitted. <br /> Incomplete applications will be retumed. (Please print) <br /> BUSINESS INFORM TION: , � <br /> Name: � <br /> Address: �ci/t / Ci : i� �� ZIP: ' C% � <br /> Contact Person: �. <br /> Phone: - �v - <br /> Email and/or Fax � • �. ` y►n <br /> APPLICANT(RESPONSIBLE PARTI�: <br /> Name: �l� lc'rZL�/�('/�r� <br /> Mailing Address: j1P�7 l/��?N"� t?/.�t /'L[ City: /y�,�/� ZIP: SS�I.�� <br /> Contact Person: <br /> Phone: ��/7- ��1C�' �Z y0 <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: <br /> Address: Ciry: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Slgn to be Displayed: <br /> ❑ Portable Reader board <br /> [�Banner 7"x'� /��'1 7�7`� � VCG/Le �� ' <br /> ❑ A-Frame J/Ll�,f , /�LL1 ,S� <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs not attached to a building,provide/ocation sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • �olation 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 temporary sign erected in violation of city,state or federal regulation; <br /> • The si n s ,si n su orts or ortable st must be re from ublic view at the end of the ermit riod. <br /> Applicant Signature: � �r Date: ,j'�2'�5 <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email and/or Fax Number: <br />