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�� <br /> City of Orono <br /> Temporary Sign Permit Application <br /> MailingAddress: Permit num6er. ' �/D" L�/' <br /> 0..�O,�.O PO Box 66 <br /> Crystal Bay,MN 55323-0066 Date received: .Z.- l> <br /> � �, Sfreet Address: Received by: <br /> titi 2750 Kelley Parkway pe��F�; $35.00 �y <br /> 'Cqx�x�4,��' Orono,MN 55356 <br /> Jf maifing,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. IZ� <br /> Incomplete applications will be returned. (Please prinf) �,,�r ' <br /> BUSINESS INFORMATION: c� r� <br /> Name: �1Q\l^�.��'e_ l G�,.�.s <br /> Address: 3�► S � '• r Ci : � ZIP: S 2 <br /> Contact Person: ,. f '�'�r��— <br /> Phone: �1-g�'6-���-�- <br /> Email and/or Fax � �Qr.�3�rr.sr c �r� <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: � \ <br /> Mailing Address: 1 �-; ��� � Ci : � ZIP: �sy <br /> Contact Person: <br /> Phone: �� —�►�-c'Zz3 <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: �1 �` 'e C , <br /> Address: 1 �i� w, s. �^ Ci : ZIP: S i 3) <br /> Contact Person: J o�, b,..; mv. <br /> Phone: 7�.�-2 1—�� `1 <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> �Portable Reader board �� X � � <��r�� o� ��� 't� �2�� <br /> ❑ Banner 51.�ra\y+� ��- i'�1' �\ � 1'2—�7 <br /> ❑ A-Frame :s- �a��� �J�, `1Z 1� � y2 Z� <br /> ❑ Balloon �1-�,S �� ��'3 j <br /> ❑ Other(specify) <br /> For signs not aftached to a building, provide/ocation sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation 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 rts or ortable stand must be removed from ublic view at the end of the ermit riod. <br /> Applicant Signature: �J� Date: �2�1C� <br /> For Multi-Tenant Buildings: <br /> Property Owner or �--- <br /> Manager Signature: ,�� -' � Date: ��1"\� <br /> Printed Name of Property Owner or Manager: Sc,4.������ <br /> Phone Number: ��1�+q�� >>�` Email andlor Fax Number: S��n�C� `���-C3't`' <br />