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� Cit of Orono �' `1� <br /> .y . . . c� <br /> Temporary Sign Permit Application <br /> Mailing Address: Permit number. a D�b - 6 � <br /> O�,�,j�.O PO Box 66 <br /> C rystal Ba y, MN 55323-0066 Date received: �3 l�I 0 <br /> a �, Street Address: Received by: <br /> �',�, �ti�' 2750 Kelley Parkway Permit Fee: $35.00 <br /> '�9gE$H�g'�' 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: ������ L�.�.�s <br /> Address: S D�• Cit : �r ZIP: SS �� <br /> Contact Person: �„� '�o,,,,,e,. <br /> Phone: (o�2- t�-� 2� <br /> Email and/or Fax �.,,,.��R,.�,�,..c��d�nasQQ� _ _o�... <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: $� <br /> Mailing Address: �yy e3o�,.�„�; R�dv� �,� City:`$1,�,,.;,,,,,�, �. ZIP: .5"sy�'9 <br /> Contact Person: _„�� '�a,,.� <br /> Phone: f�1'2-g��-��t3 <br /> SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS): <br /> Name: � S, <br /> Address: 2L1�� piu..,�c��� C;�\� City: 3�,.. a o ZIP: 55313 <br /> Contact Person: v�.Q,. �,:ta;,-co�-, <br /> Phone: 7�3-232 y��"� <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> : c�a � <br /> �Portable Reader board � � d Lc�c�r�r a� -'�' <br /> � <br /> ❑ Banner �ar+��cx '�'- "' • 1 <br /> � <br /> ❑ A-Frame ���.`�1 1 �� <br /> � <br /> ❑ Balloon �� Z��' <br /> ❑ Other(specify) � <br /> I- I '20�I -1� 2"10 Z.�l ! <br /> For signs nof 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: ��-��.s-� Date: �2 3����i <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: Date: 92 3�-1� <br /> Printed Name of Property Owner or Manager: s��i.�;,c�� <br /> Phone Number. �+i���`�d"'``►L1 Email and/or Fax Number: �n,a,��i �'��.w� <br />