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. , <br /> City of Orono <br /> Temporary Sign Permit Application <br /> Mai/ingAddress: Permitnumber: q�0(O-00S0 Z- <br /> 0�0�0 CrysBtal Bay,MN 55323-0066 Date received: � 9`7��d <br /> a '� ����� �, Street Address: Received by: ' <br /> '�'�c, ° "% ¢ GtiiS' 2750 Kelley Parkway Permit Fee: $35.00 �1e�//1 �d <br /> t9kE9H�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: Bnt'CJ \�r,�.� -(��.��a��� La.�� <br /> Address: 3N3� Slhacw\�� a;��:►.� City: Q�,J��� ZIP: SS;3�'i\ <br /> Contact Person: ���,,.,, '-�r„����. <br /> Phone: (�► -�� --02�1.3 <br /> Email and/or Fax �;���,�,�3 a�,�,S,r•�.c>,rn �.►'�,�tr,'�"�" ��S <br /> APPLICANT(RESPONSIBLE PAR'Tln: <br /> Name: « � .� <br /> Mailing Address: �r G� i �•, Ci : � :' n-. c; ZIP: SU37 <br /> Corrtact Person: �,�-� �C,nn�r <br /> Phone: i�i 1-g�tct-`:�..t"3 <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: ,-�;�1 L:'�.�5,�� <br /> Address: �3 '�:i ,��:u-a,;,1 L�_ CitY= Dc..f�n., ZIP: s�S'3��7 <br /> Coratact Person: ��;���;,��'��_�o Q�- <br /> Phone: (�I�-��f�^ 33°�3 � <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> � Portable Reader board ��� . k� ��. Ldr'�e,� o� � I �3 "�� � 13 <br /> ❑ Banner S��°a,��' K<i�U <br /> ❑ A-Frame <br /> ❑ Balloon <br /> ❑ Oti�er(speafy) <br /> For signs not attached to a building,provide location sketch on back of application. � � <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City Ordin�ces is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> violation; <br /> • The�ity may,without notice, remove any temporary sign erected in violation of aty,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 rmit riod. <br /> Applicant Signature: D`�1 — Date: ��=�-\Q <br /> For Multi-Tenant Buildings: <br /> Property Owner or , <br /> Manager Signature: Date: ���� <br /> Printed Name of Property Owner or Manager. ���v'� �r� T.� ' ,e-r� <br /> �—�`�r— <br /> Phone Number: ���-"�`��-���� Email and/or Fax Number: <br />