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City of Orono <br /> Temporary Sign Permit Application <br /> Mailing Address: Permit number: <br /> .¢,�� PO Box 66 <br /> ('0 Q\�\ Crystal Bay, MN 55323-0066 Date received: <br /> �1,� t ���� ,.�� SfreetAddress: Received by: <br /> \��'�,�, � '� �titi; 2750 Kelley Parkway Permit Fee: $35.00 <br /> \kESH�4�� 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: s'.i�;����.� L.�.���5 <br /> Address: �i3� 5' �- , p;�,v�• Cit : C���, o ZIP: S." � <br /> Contact Person: �-. T� �, - <br /> Phone: ��1- ��.-� c�2.. <br /> Email and/or Fax ��a-.- �c� r�,- . � <br /> APPLICANT(RESPONSIBLE PARTY): E N <br /> - IED <br /> Name: �c�r,�,� �, c�l•,a;;Y, <br /> Mailing Address: Re sd31 ZIP: <br /> Contact Person: <br /> Phone: <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): StBff Dete:� <br /> Name: (`"1��r', � S � C;,- <br /> Address: 2yv1 P1�^,..��z.� C,.,��� CitY: �..� t � o ZIP: S�.S' i� <br /> Contact Person: �'�Q p.�<\�;s�,� <br /> Phone: 7 C.3-t3`�-�R`�� <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> �Portable Reader board � ' 7� `� ' L�`��" dC` �� <br /> ❑ Banner S�����•� �C�'. -S / � � � <br /> --�—r <br /> ❑ A-Frame � k��� � ���. <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs not attached to a building, provide location sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> . Violation 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 stand must be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: �.,j �,�--- Date: �i`��—�� <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: ��� Date: �--�l.�t� <br /> Printed Name of Property Owner or Manager: S��a�'� P:���,. <br /> Phone Number: �+2-�"�0����`� Email and/or Fax Number; 5��,j:.,���?, �.�\_��r- <br /> ''"'Y"'F �'V> �S+14 �C/" ��cf`� \g!�i'�a,r" � ��•ls'�4— � �5,.� <br /> J �! <br />