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� y City of Orono Temporary Sign Permit Application Mailing Address: Permit number. O�D,�.O PO Box 66 _ � Crystal Bay,MN 55323-0066 Date received: �a � �� .�, a, Street Address: Received by: _ ,�, �ti`�' 2750 Kelley Parkway Permit Fee: $35.00 Z —� � l9g�Ho$,� 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. (Please print) BUSINESS INFORM TION: Name: OJf Address: ��C��p , Cit : ZIP: Contact Person: c � Phone: 1,- l7eS Email and/or Fax � �' v c . c • APPLICANT(RESPONSIBLE PART�: Name: Mailing Address: � City: ZIP: Contact Person: �V'��—�� G` u e Phone: SIGN COMPANY/OWNE (IF O SAME AS BUSINESS): Name: ��, Address: o Cit : Z ZIP: Contact Person: Phone: 9SL —�f 7 - �� PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: �Portable Reader board lD,'�"4` �M�`!�i [-D�— �OI7 ' t012 / ❑ Banner ❑ A-Frame ❑ Balloon ❑ Other(specify) For signs not attached to a building,provide/ocation 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: � / v For Multi-Tenant Buildings: Property Owner or Manager Signature: Date: Printed Name of Property Owner or Manager: �� h��h Y V 1 ��II\�r�► � Phone Number: AE JZ�'� ( ��P� .� Email and/or Fax Number: �