|
s �
<br /> City of Orono
<br /> Temporary Sign Permit Application
<br /> Mailing Address: Permit number: �/D" �/
<br /> O�,O,�.O PO Box 66
<br /> Crystal Bay, MN 55323-0066 Date received: �02 �, jd
<br /> a -�� s, Streef Address: Received by:
<br /> '�' � 'z�� titi 2750 Kelle Parkwa $35.00
<br /> �,n �, Y Y Permit Fee: X�
<br /> tyxESH�g,4' Orono,MN 55356
<br /> �-- If mailing, add$2.00
<br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
<br /> This application form must be completed in full and all required information must be submitted. Z��
<br /> Incomplete applications will be returned. (P/ease print) 0
<br /> BUSINESS INFORMATION: cW��W��
<br /> Name: ;�1�..e^.-�-� 7_..:.�
<br /> Address: �� ' S� , , Cit : t�,. �, ZIP: '"5��� 2
<br /> Contact Person: ..,,,; ��;,,�_
<br /> Phone: ��1-`�1� �'Lz3
<br /> Email and/or Fax '�.-�C-C•;<�3C�°�r,.s n, �.;,;.-,
<br /> APPLICANT(RESPONSIBLE PARTY):
<br /> Name: ��
<br /> Mailing Address: j `, � ,,� �. ��. Cit ��,� ,;,,,� ., ZIP: ,S�s'ti' -
<br /> Contact Person: .��, •+ �
<br /> Phone: l��2—�;��,-C�i"�
<br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS):
<br /> Name: ;��4,� C,
<br /> Address: L �i� 1�.. � -��. �..-� Ci : 1 �- ' �.. . ZIP: �����_
<br /> Contact Person: �:.•, ��.:-,•c„�
<br /> Phone: ")�3•23 L—�$`�`�
<br /> PROJECT INFORMATION:
<br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
<br /> �Portable Reader board �+ K ' � ��r h�.-� �� `�=3 �� ����
<br /> ❑ Banner �1.1t���+i ��' - l`�' �\ '��:, �Z-17
<br /> ❑ A-Frame -�- ���� � Q"`�.. �1��� '�-a �Z-��'1
<br /> ❑ Balloon �2` �� Z C ��'� �
<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: �;_�!-�"' Date: �Z`�� \V
<br /> For Multi-Tenant Buildings:
<br /> Property Owner or -„_...—�-�
<br /> ManagerSignature: �%�--�;:�;:;,LT� Date: ���� �\�
<br /> Printed Name of Property Owner or Manager: 5���.'�.���^,,���..,�
<br /> Phone Number: ���L�`��" f���� Email and/or Fax Number: S`F�n�<n��i� `�v\-���`'
<br /> TQ
<br />
|