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Rl����V�D <br /> ' � City of Orono <br /> r �1A`� 3 Q �Q17 <br /> Temporary Sign Permit Application _ � <br /> Mailing Address: Permit number. CIN������� <br /> O��,�.0 PO Box 66 <br /> Crystal Bay, MN 55323-0066 Date received: S�C�'��] <br /> ,� a. Street Address: Received by: <br /> �'.�, Gti`�' 2750 Kelley Parlcway Permit Fee: $35.00 1„ = �7 <br /> 1.�.�0$� Oro o, MN 55356 <br /> 34�5 st�c�rc�r ru �✓i✓t• If mailing,add$2.00 <br /> Main: 95�-249-46�9 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be sul�r i d � ��� <br /> Incomplete applications will be retumed. (Please print) �� <br /> BUSINESS INFOR ATION: � <br /> Name: <br /> Address: Ci � P: <br /> Contact Person: <br /> Phone: � <br /> Email and/or Fax <br /> APPLICANT(RES ONSIBLE PARTI�: ' � <br /> Name: � <br /> Mailin9 Addrg�s; Ci_ ; <br /> Contact Person: <br /> Phone: � <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS):��� n�—�i ' �� <br /> Name: D �; C ci D CS'� <br /> ��,-- <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board <br /> 17U Banner �N ]l "1 �,�_ Cjl(�,.Q _ <br /> T <br /> ❑ A-Frame 33,I��H � �' �� ' ��. � �p�Z�j'(7 <br /> ❑ Balloon �3•15 s �•� '�� ]� �"J•�7 <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 s d must be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: � Date: ���� '� <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: S,Q� �,(,�(Qd �j�[ ��� �S(,,,� Date: <br /> _ <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email and/or Fax Number: <br />