2012-01171 - temp sign - Laserfiche WebLink

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C i�y of C�ro r�o .�� � . • Temporary Sign Permit Application <<� ;�� Maifing Address: ;Z �� _ �� i'� �'��.,�� PO Box 66 Permit number. / � ., 0� Crystal Bay, MN 55323-0066 Date received: � � � l5 �l Z- � �� i �� , ;�� �a � a,,; Street Address: Received by: n� �'� � ' A ' tii% 2750 Kelley Parkway Permit Fee: $35.00 ��'�9�� `�i� Orono, MN 55356 ��gp4. If mailing, add $2.00 Main: 952-249-4600 Fax: 952-249-4616 w+,vw.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 INFORMAy,T ON: � Name: � i �� l� (�l�� Address: City: C .V V ZIP: Contact Person: I Phone: Email and/or Fax ' � APPLICANT (RESPOJVSIBL,E PART ): Name: /"t l C� C� � � IN�� Mailing Address: i. � � Cit : ��✓ ZIP: ' Contact Person: �q n Phone: LI-�'( 1.� '7-, 2� 2,�1 SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS): Name: Address: City: ZI P: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: ❑ Portable Reader board �Banner �/� � � l 1 ' � � • l� ❑ A-Frame ' � �S ��/� `Z 3'� 2,, ❑ Balloon � i ❑ Other(specify) I � i For signs not attached to a building, provide location skefch 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 supports or ortable stand must be removed om public view at the end of the permit eriod. Applicant Signature: � Date: � ( " j- l �' � For Multi-Tenant Buildings: � Property Owner or ` � _/� Manager Signature: � ( C��y�� t � � � _� Printed Name of Property Owner or Manager: ( �/1 Phone Number: �( � � � �� :��j � ' Email and/or Fax Number: