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City of Orono Temporary Sign Permit Application �O�O Mailing Address: Permit number: �O� —�� / �� PO Box 66 ,/ / Crystal Bay,MN 55323-0066 Date received: �—/7—� � �' � Street Address: Received by: � y �� 2750 Kelley Parkway Permit Fee: $35.00 F� � Orono,MN 55356 �k�SH�� 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 INFORMA I N• � � Name: Address: Ci : ZIP: Contact Person: Phone: � . ?� T,rY Email and/or Fax APPLICANT(RESPONSIB E PA TY): • ./,n � Name: ��v(N�1 Mailing Address: r' 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 �� ' 1 . � � r � �Banner 2' � � �4 � �'' �� •�� �' 2��t• i4 �o z • zi � �4- � ❑ A-Frame ❑ Balloon 4 �Z'3� �� p 3 5' ��' `R.1/ ❑ Other(specify) �� 3-� -i 4 � 3 •It� �►� 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 shafl 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 b e stand must be removed from 'c view at the end of the ermit eriod. Applicant Signature: _ Date: �"\ �r�"� For Multi-Tenant Buildings: %'� Property Owner or � �, f 5�l�,/ Manager Signature: Date: � � Printed Name of Property Owner or Manager: � �� Phone Number: Email and/or Fax Number: