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` , . R�C�IV�D <br /> City of Orono <br /> Temporary Sign Permit Appfication M�� � � 2017 �S <br /> �O� MailiPO Box 66• Permit number: C�'n(O��ROI�C� <br /> Q O Crystal Bay, MN 55323-0066 Date received: S–�3C�–/ 7 <br /> Received by: �� <br /> ,� ; �, Street Address: L i � <br /> �'.�, �ti 275D Kelley Parkway Permit Fee: $35.09 � <br /> l.��og*� Orono, MN 55356 <br /> �t3S c�,QY'{.I lrl� t,�.vi�/C.► If mailing,add�2.00 <br /> Main; ���-249-4690 Fax: 952-249-4616 www.ci.orono.mn.us -, - <br /> This application fo�rn must be completed in full and all required information must be submitted. <br /> Incomplete applications will be retumed. (Please print) <br /> BUSINESS INFO TION: <br /> Name: <br /> Address: Ci . I : <br /> Contact Person: <br /> Phone: � <br /> Email and/or Fax <br /> APPLICANT(RESP NSIBL� PARTI�: <br /> Name: � � C <br /> M�iling A�dr��s: ^ Ci_ , I <br /> Contact Person: �� <br /> Phone: � <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): . <br /> Name: ��'�� ���1���� <br /> Address: C�ry: 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 /> � Banner ,�y)`1 l� a , ��'. � ,��— t <br /> � �/ <br /> ❑ A-Frame � A ��y: (p•�rJ' ' �Z b � 'l.✓'�7 <br /> ❑ Balloon Z?•50 S� (� •�•17 �p �]•�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 /> viofation; <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 e nd must be removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: �� Date: VJ' � 1� <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: � ��'�,,�,(� �� QF �w Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email and/or Fax Number: <br />