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' ' City of Orono �
<br /> Temporary Sign Permit Application
<br /> Mailing Address: Permit number:
<br /> O�,D,�.O PO Box 66
<br /> �
<br /> Crystal Bay, MN 55323-0066 Date received:
<br /> .�, �, Street Address: Received by:
<br /> �',�, �ti�' 2750 Kelley Parkway Permit Fee: $35.00
<br /> L9kESH�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. (P/ease print)
<br /> BUSINESS INFORMATION:
<br /> �
<br /> Name: � .; �-=. �-._�
<br /> Address: 3�t3 � 5"L,, .._\,,�_ \� CitY: �` ,, ZIP: '��3';i
<br /> Contact Person: i3��.-.-,�—C;,,,�,r_- \
<br /> Phone: t � 1-'�.�� � �L:
<br /> Email and/or Fax '. � .. � �_;; , - c ,
<br /> APPLICANT(RESPONSIBLE PARTY): E N I E D
<br /> Name: � , �
<br /> Mailing Address: Re gQi1 ZIP:
<br /> Contact Person:
<br /> Phone:
<br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): Staff Date; Z7�
<br /> Name: _ �;'l tr.�� ; .S,-;,,� c_
<br /> Address: _ �y`� Q� u,� City: � � ZIP: �S 3i"�
<br /> �''. _ L � -\.� �. � �, o
<br /> Contact Person: _��_. >>.._�__-.,;,�
<br /> Phone: 7�'�� 2_3 �-• �-1;�i`-,
<br /> PROJECT INFORMATION:
<br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
<br /> �'Portable Reader board L 1 1 � � �- ''r� ��' �' I ► � � �
<br /> � /
<br /> ❑ Banner S ����'�\.� '�;' -S / � �
<br /> ���
<br /> ❑ A-Frame 3- k�=�� v y�:�
<br /> ❑ Balloon
<br /> ❑ Other(specify)
<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 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: . ��� Date: �t�1�� —� 1
<br /> For Multi-Tenant Buildings:
<br /> Properry Owner or �%�
<br /> ManagerSignature: '� , j,_�� Date: ��-���_��
<br /> `�-.__..__--
<br /> Printed Name of Property Owner or Manager: S� ,� � 4�.: '�. ,
<br /> , ,
<br /> Phone Number: �.�L-��"�� •����,, Email and/or Fax Number: �„., . ��� �.��.�;,,-
<br /> ' �tl E J v 1 ��J �\.i \_,� ..� y,1 � \`��.'1N� \ai���`�� �1C � �n
<br /> J J ��^
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