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Y � ci of orono N� �xm+�-' I���i� <br /> �v <br /> Temporary Sign Permit Application <br /> Mailing Address: Permit number: � Q��,S <br /> g,�,�. PO Box 66 ,r1 <br /> Q � � Crystal Bay, MN 55323-0066 Date received: '!_ l <br /> � � Received by: <br /> a �, Street Address: <br /> �',�, �ti 2750 Kelley Parkway Permit Fee: $35.00 <br /> ��E�o4'� 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 full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> BUSINESS INFORMATION: <br /> Name: ,fp/,,��g ,l,I�.,,�, �� <br /> Address: .3�� . Sh��.:�%��.r�� CitY: %U.ly�r�e ZIP: �3"��'i <br /> Contact Person: �� ���A <br /> Phone: �j'��_ �7j-��;� <br /> Emai1 and/o�Fax �r�;,�_j����a�`}��-�r��/;o� <br /> APPLICANT (RESPONSIBLE PARTY): <br /> Name: �,- ,-, /' <br /> Mailing Address: '�'yOD f?�s� �l� �� City:�.�!_L��rz �,,,�•ZIP: g`�'���, <br /> Contact Person: ��„-,�. <br /> Phone: c5�- ��3•!-/.�,�� <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 Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> ❑ Banner <br /> ❑ A-Frame <br /> ❑ Balloon <br /> � Other(specify) �� � � /1�0 T"_�—�C1 , ,��jQ�''� <br /> v✓ra!rx,,,,i �,�.rvr- l�fz-�b�.�/' .3-,,3/-zo�o <br /> For signs not attached to a building, provide /ocation sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City Ordinances is a misdemeanor. Each day the viofation 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 o s an must be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: Date: '�7'� �3 � �/ <br /> For Multi-Tenant Buildings: <br /> Property Owner or • <br /> Manager Signature: Date: � �?j �(��J <br /> Printed Name of Property Owner or M nager: /1�TX�..� WOQ� <br /> Phone Number. y�,z- �7/- ��z Email and/or Fa;: Number: �J�- '��/- O�,Z7'� <br />