2010-00982 - sign on building - Laserfiche WebLink

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� City of Orono Temporary Sign Permit Application � ' Mailing Address: Permit number: �,�,�. PO Box 66 0 e, � Crystal Bay, MN 55323-0066 Date received: ��\"�`"`� Received by: a ;'��' >T�:= a, Street Address: �',�, �� G�`G� 2750 Kelley Parkway Permit Fee: $35.00 ��9xESKog�' Orono, MN 55356 '— If mailing, add$2.00 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (P/ease print) BUSINESS INFORMATION: Name: � Address: _ City: ZIP: Contact Person: Phone: Email and/or Fax APPLICANT(RESPONSIBLE PARTY): Name: Mailing Address: City: ZIP: Contact Person: Phone: SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): Name: Address: City: ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: ❑ Portable Reader board ❑ Banner ❑ A-Frame ❑ Balloon ❑ Other(specify) For signs not attached to a building, provide location sketch on back of application. APPLICANT ACKNOWLEDGEMENT: • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate violation; • The City may, without notice, remove any temporary sign erected in violation of city,state or federal regulation; • The si n s , si n su orts or ortable stand must be removed from ublic view at the end of the ermit eriod. Applicant Signature: Date: For Multi-Tenant Buildings: Property Owner or Manager Signature: Date: Printed Name of Property Owner or Manager: Phone Number: Email and/or Fax Number: