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� " � � � /�i��2��-- <br /> � . ��'��Gfii�C- <br /> � - City of Orono �-rd � <br /> �0��" <br /> Temporary Sign Permit Application <br /> Mailing Address: ����_b� <br /> ��,�,�.\ PO Box 66 Permit number: � <br /> /� ��V Crystal Bay, MN 55323-0066 Date received: �� � %� <br /> I' ��}�"' - I� Received by: <br /> i a 1"�,,, �.��,�. �. � Street Address: <br /> ��',F, ,� 9"� �� 2750 Kelley Parkway Permit Fee: $35.00 <br /> �'��s r � Orono, MN 55356 <br /> \ESH� <br /> �- If mailing, add $2.00 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (P/ease print) �V ��`1 <br /> BUSINESS INFORMATION: ���� 1,, <br /> Name: , S ,� <br /> Address: ' ^ F � ti� Cit : ZIP: � j� �'� <br /> Contact Person: J ti, <br /> Phone: _ "� <br /> Email and/or Fax � i � , � , �.�., <br /> APPLICANT (RESPO�VSIBLE PARTY); <br /> Name: f�'1G�1�Gi �'�-t'l w�� <br /> Mailing Address: Gj�� ;,7,� City: ZIP: <br /> Contact Person: <br /> Phone: "��7 Z �-( �j�- "�j� �c: <br /> SIGN COMPANY/OW�IER (IF NOT SAME AS BUSINESS): <br /> Name: C�_z_n, �j-� <br /> Address: �.5� (5 �- � � City: ����-, ZIP: <br /> Contact Person: <br /> Phone: t-( � ( - ��n �l� <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be D�'sp�layed: <br /> I,u'4 <br /> ❑ Portable Reader board -�. � "hi '� � <br /> � �'�t5 iG�{ <br /> � Banner � �b1'1'�� �/11��1C�O�i,� �._�C�� � '�?� ��C���'�-�� �l <br /> � ��� �� � �,<< <br /> ❑ A-Frame <br /> ❑ Balloon �I•�1/-1 `1��� ��` � <br /> ❑ Other(specify) '� �I-- t � <br /> � <br /> For signs not attached to a building, provide location sketch on back ,� � <br /> APPLICANT ACKI�OWLEDGEMENT: <br /> • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> violation; � <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 port ble stand must be remov from ublic view at the end of the ermit period. <br /> Applicant Signature: - I Date: CO 2� 1 <br /> __. <br /> For Multi-Tenant Buildings: / �~��'"'"�� <br /> Property C�wner or ,l� <br /> Manager Signature: �/ � ate: ( � ��� � �I <br /> : �� <br /> Printed Name of Prop rty�1Swn�r or Manager. � )C(.!''1�D I ��1 T <br /> / Q ,� , ` <br /> Phone Number �f� �� - tJV �1 y��Eknail and/or Fax Number: <br />