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��� City of Orotto <br /> �i�O/`j�� FOR CITY USE ONI.Y <br /> P.O.Box 56 <br /> i O �� 2750 Kcllcy Park�vay Date Received: �'/�— �5 <br /> ' �� Crystal Bay,MN 55323 <br /> �', �,�1 , : Phonc:(952)249-46D0 Fax:(952)249-4616 Permit Number �t�7/S-d�� <br /> �\r.V .�i 1� t�l�.i,.+[co�� i2���;.u� <br /> t �i - Pcrmit Fee: �25.00 <br /> �1�ESN0�;. <br /> G�.� Lt9S <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be appros�ed by the Fire ChiefJ <br /> Tent Information: <br /> DateofEvent: ``��9 ' ��5 SizeofTent(s): 3ox 3c NumberofTent(s)� 1 <br /> Does the tent have sides? No es <br /> Please inchrde Fire Retnrrinnt Information,T•om the ren�a!company fnr tent(s)AND n Sketch <br /> or Drrrwin�of where N�e tent wifl be loc�rted on tGe nroperty alorrg x�ith this application. <br /> Owner Information: <br /> Site Address .3�35 v1,�i�-,<t�ru d�/•it,.'e. <br /> 4wner: ��^n/� �,,,.�-s�� �i ��/� Mailing Address: �y�-3�./ /J?��-;:,/� /�,,� <br /> City; �t'i�..�,rt: 1��� Zip: _ �>���s '� <br /> Home Phone: >%�' " ��� �"2 7�; Alternate Phone: <br /> Contractor/Applicant Information l <br /> Contractor/App.:��1,�ir.`�,:�Mr.fj>i,�c:.• �l`,i�,;-"�t Contact Person: /,'/�Z�•/C�1��''�i/'���� <br /> Address: ���5 l�Z� ���•j/ ��� :J�%�" City: .J' F'����''��i�%r ��'..�Zip: i-�1-/_-�;z- <br /> Phone: �/J - G�3�'- 71��.�,/'f, Alternate Phone: .li-/�'- C�z1G� �.%y/; <br /> Fax: Email: �?-2�;�."_.,'`'�i."�-r.',�.�r%i�,'t��'�'t c;��/l�_ <br /> � ll.�� <br /> 1 hereby apply for a permit anci acknowiedge that the information above is complete and uccurate; that the work wi11 be in <br /> coaforrnancc with[he ordinances of thc City of Orono and the MinncwtaF�re s:and I und stand this is only an appiication for a <br /> permit and work is not to start without a permit. `� ,.ry . <br /> .:..---- � 3--i z-i s <br /> Appl�cants Signature/Date <br /> � - 3/ � ��,/( � <br /> P fmit Approved By: Date Approve : <br /> i <br /> (TcncPumh OS/(la/I I) <br />