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<br /> City of Orono ��'�
<br /> � �
<br /> Temporary Sign Permit Application ��'
<br /> Mailing Address: Permit number: �D� b - 6 (�
<br /> O�,�\ PO Box 66
<br /> ' � Crystal Bay, MN 55323-0066 Date received: a-3 �- I D
<br /> � ; z rm` � � Street Address: Received by:
<br /> ,�, Gti 2750 Kelley Parkway Permit Fee: $35.00
<br /> t9kESHOs`ti'� 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.•.,.�,-
<br /> Address: ' y�S S� �� 1- 1��- �. Cit : t`,.,., ZIP: �S� �;�
<br /> Contact Person: i ���'�A,�,�, �
<br /> Phone: (o�2-'�e�-- �i�,3
<br /> Email and/or Fax �,.,,�=��„»�-����,�n.,,����.� _��,,,
<br /> APPLICANT (RESPONSIBLE PARTY):
<br /> Name: $«cc a ���,�.��<—
<br /> MailingAddress: �yy ��,,,,.,<�.� �Z����, 7�,�� City: �1�:,,,,�T ZIP: 5"�:.L�j
<br /> Contact Person: �.,,,,,, ��;�.�.��
<br /> Phone: �1Z -���� ;,�L3
<br /> SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS):
<br /> Name: �.� S�, �
<br /> Address: �2yvr P\u„�;pt `,��\� City: i��-_,;�a � ZIP: S�S�t�
<br /> Contact Person: �,c,.z Q.�1;.-5�,,�
<br /> Phone: 7 t�3-•232--y b�`1
<br /> PROJECT INFORMATION:
<br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
<br /> �Portable Reader board "1� � d L���-,�r "`S �� —' � �
<br /> ❑ Banner ��,o: y�l�� �- 1 l��► � 1 ��
<br /> ❑ A-Frame ��'Z.��1 � �,�'�` � ��)
<br /> ❑ Balloon �.1 I2Z ^ 1 I 2�
<br /> ❑ Other(specify) '�
<br /> 4 _ '� ��',�g � -� � -ID Z�� r
<br /> � � � �t
<br /> For signs not aftached to a building, provide location skefch 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 /> ��
<br /> Applicant Signature: �� •��s—� �ate: ��-"3`-'"���
<br /> For Multi-Tenant Buildings:
<br /> Property Owner or
<br /> Manager Signature: �� Date: �2"3cr1�
<br /> Printed Name of Property Owner or Manager: S,-�.�i�, ���..c.�
<br /> Phone Number: �►���°�d '`���.� Email and/or Fax Number: T��.,��;� `y�1.�;,,-,
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