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_ City of Orono <br /> . Temporary Sign Permit Application <br /> O�O� MailiPO Boxr66 Permit number: a�"'�CJ �oZ. (p <br /> } Q 1 Crystal Bay, MN 55323-0066 Date received: <br /> (a �, Streef Address: Received by: <br /> ��',�,t �� ��b �ti 2750 Kelley Parkway Permit Fee: $35.00 <br /> ESHO�`'� 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: ��1�,s,�� � �<. <br /> Address: ���21 S j�;,t.,� �:�.� �,_ City: r �,,c ZIP: S S'3�'ti� <br /> Contact Person: _��� <br /> Phone: (a,�2. ��v�- y3�.a <br /> Email andlor Fax <br /> APPLICANT(RESPONSIBLE PARTY): <br /> Name: ij�.,�,. '�:, � <br /> Mailing Address: 1yV ..r..,�,,r, ���,.�� ��, CitY: �\���,,,�,�a�,. ZIP: �i3'� <br /> Contact Person: r�-�^ ,. <br /> Phone: 1`� �l t�-��t3 <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: �'1�t>�� 5 � � . <br /> Address: 1 a� Q 't, c_'•;-�.\�. Cit : ZIP: . S3i <br /> Contact Person: ��.; �z�\z-s'�1 <br /> Phone: '��'��'L"3'1- y S�,`1+� <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> � Portable Reader board �"� , � � y �-���^ �� ��2� `� �"`o <br /> ❑ Banner Sti�:a.�� 7�`. �- �3-• `� ^-- �..�� <br /> ❑ A-Frame k�.\\`� ���� 3"..� � � �3'2� <br /> ❑ Balloon �•�2�� ' y� 3� <br /> ❑ Other(specify) <br /> For signs not attached to a building, provide/ocation skefch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: I�eC� �TIO� ��f.�-@ (�Var�C'�C�(�' (�1�'�'� <br /> • Violation of City Ordinances is a misdemeanor. Eac day the violation continues in existence shall be deemed a separate �� �1 A <br /> violation; �W� <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: �'�3 ',+ "�_��I• <br /> For Multi-Tenant Buildings: � <br /> Property Owner or -- _ <br /> Manager Signature: ~:���� Date: L Z3-�1� <br /> Printed Name of Property Owner or Manager: 5��.�ti �w�r,,.,. <br /> Phone Number: ��2-�►.`��y`���� Email and/or Fax Number: �j�y��„���.�,8� ��•��-�w'�'� <br />