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' ' � City of Orono <br /> � • / Q FOR CITY USE ONLY <br /> ; � N�\ P.o.soX 66 <br /> i ` 2750 Kelley Parkway <br /> r 'i Crystal Bay,MN 55323 Date Received: 3—I�— �S <br /> { �, � ) Phone:(952)249-4600 Fax:(952)249-4616 Permit Number of�/S�L7�� <br /> "`��, �C ��1��v.ci.oronu_mn.us <br /> � v Permit Fee: $25.00 <br /> �kF.S HO�t <br /> �"--- <br /> �.� �195 <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie� <br /> Tent Information: <br /> Date of Event: `��9 ' ��s Size of Tent(s): �U� '�' Number of Tent(s): � <br /> Does the tent have sides? No es�' <br /> Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch <br /> or Drawing of where the tent will be located on the nrovertv along with this application. <br /> Owner Information: <br /> Site Address: �`��-�� ���='��'��u ���"��'� � <br /> Owner: �����/� �i��,��s� ��,���� Mailing Address: �'��3�-� �'l:�<-�,�c ��,_,� <br /> City: ��'i,.���'z; �< �-j Zip: �7�5���- <br /> , <br /> Home Phone: -5%L' ' 7_��- �'2 7_ 1t Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.:�����i,r� ����;�?,�"s Contact Person: /��C�%-.'�l���C�i'�'�1 i� <br /> Address: //��_.5�'�v;�9 ��� :��� City: �De;��1'��lc/� ��'.,vLip: �y��. <br /> Phone: (.�/"2 -� l�"_3�- 7Coy S Alternate Phone: �/Z- Szl..�i� ���/CS <br /> Fax: Email: ��,s—fl�/��j�����I.//i7/ 17t�«���J' <br /> , lC�'>'� <br /> T hereby apply for a permit and acknowledge that the information above is complete and accurate; that the work will be in <br /> conformance with the ordinances of the City of Orono and the Minnesota Fire s;and I und tand this is only an application for a <br /> permit and work is not to start without a permit. <br /> � �--- l 3�-/2-i S <br /> Appl�cants Signature/Date <br /> Permit Approved By: Date Approved: <br /> (Tent Permit OS/04/I I) <br />