|
City of Orono
<br /> Temporary Sign Permit Application
<br /> Mailing Address: Permit number:
<br /> �j,�,�. PO Box 66
<br /> � �, Crystal Bay, MN 55323-0066 Date received:
<br /> � �� �,r� �,� Street Address: Received by:
<br /> ,F, �� - �tiF 2750 Kelley Parkway Permit Fee: $35.00 n y -_�t-j u,`'
<br /> L9kESH�g'� Orono,MN 55356
<br /> �___.
<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) f_ A/ ���� 411��i� �
<br /> BUSINESS INFORMATION: (1/►V �� �
<br /> ,
<br /> Name: !�^�.•,�,�r� �.=.-,�s - -_ -} .
<br /> Address: 3�135 5�►-,��L\��.� V, , '�b (7j,� �1 �� � �.e11(1�
<br /> Contact Person: �--,.�, ��, � ,- � �� �Lp �
<br /> Phone: �.i�-'i�� ��z3 � �
<br /> Email and/or Fax �cc.�,a fi�.,.�.��� �,3 w��,r,�,�-����� c.�,,-a
<br /> APPLICANT(RESPONSIBLE PARTY):
<br /> Name: 5•_.,,r.� ->., �:�.._�>_ �1 �� �I/V�{'j/�,liV ��'1�'���Y�l
<br /> Mailing Address: . _
<br /> Contact Person: �ti�4,,� ����� �(,� � b�
<br /> Phone:
<br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): �'f�L��^��� �� ""'
<br /> Name: ,'�c�'.�\� s ;c.. C..- �`�'"�J �i�1Dv�P��h.G �'YV"C�o "
<br /> Address: '1�i�,� �1.,�.. �'���,t,��,,
<br /> Contact Person: j�.� ��.���.s:,, '� 4� • '
<br /> Phone: 7�.3•Z3 L-�i�'�y `�
<br /> PROJECT INFORMATION: u�� `'� - -
<br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
<br /> � � i
<br /> � Portab�e Reader board � �c � ��''��- �� y�'1"ZV\1 �c�
<br /> ❑ Banner
<br /> S 4,ar..\� �:' S � ►9 -2�i 1 %�
<br /> �
<br /> ❑ A-Frame
<br /> �- �.��_� ��
<br /> ❑ Balloon
<br /> ❑ Other(specify)
<br /> For signs not attached to a building, provide location sketch on back of application. �52�
<br /> `I �` I i'`\ � 4�1�
<br /> APPLICANT ACKNOWLEDGEMENT: v��� �� � ��V� 1� (�I�' �Q�� Y�w� '���'
<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 /> ApplicantSignature: !J��l-- Date: �"�-I`-1-1�
<br /> For Multi-Tenant Buildings:
<br /> Property Owner or
<br /> Manager Signature: �`�.� Date: �-�l�_�\
<br /> Printed Name of Property Owner or Manager: -.���\,�; '�'��,L,�
<br /> Phone Number: �-,Z-�:��-`:�c� Email and/or Fax Number: sw..',,,-::,,� �ab�.��.r-,
<br />
|