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1 f <br /> , � i <br /> City of Orono <br /> Temporary Sign Permit Application�/10�� � ���s <br /> �O� Mailing Address: Permit number: -�� <br /> O PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: .�'/7�5 <br /> Sheef Addness: Received by: <br /> y�, `� 2750 Kelley Parkway PeRnit Fee: $35.00 Z -. P 1Q � <br /> t Orono, MN 55356 <br /> 'KESHO�� 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 returned. (Please print) <br /> BUSINESS INFORMAT ON: <br /> Name: S -e ✓ _ - <br /> Address: „� /p �,��,t� Ci : ,- l ,� ZIP: 2 <br /> Contact Person: "�, r <br /> Phone: l�iZ - � 7!� 3 <br /> Email and/or Fax ma y,�� �-��/tr'�c�2u -sl'ir�u�r.r.,E' ��rr <br /> APPLICANT(RESPONSIBLE PARTI�: <br /> Name: /}��y,(� �/2�r��i t <br /> Mailing Address: j(�07 /D�v�y a.�.0 � Ci : /�o/s ZIP: ,SSy/� <br /> Contact Person: <br /> Phone: li/7- ��10 �,�� �D <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Slgn: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> [�Banner ,3 X /U L�/h �� il�,yS (/dllZc /9�_ <br /> ❑ A-Frame b�u�u ,� <br /> ❑ Balloon �Q-Iq �'O (D•Zq <br /> ❑ Other(specify) �/.Lq ro � • q <br /> For signs not attached to a building,provide/ocation sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • �olation of Ciry 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 s ust be remov from ublic view at the end of the ermit riod. <br /> Applicant Signature: �------- Date: .3'�2'/5 <br /> For Multf-Tenarn 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 />