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- � City of Orono <br /> � Temporary Sign Permit Application <br /> O Mailing Address: Permit number: � r � � ✓ <br /> � <br /> PO Box 66 <br /> � Crystal Bay, MN 55323-0066 Date received: 3 " ��`� � <br /> Street Address: Received by: <br /> y � 2750 Kelley Parkway Permit Fee: $35.00 �(4� � <br /> `� � Orono, MN 55356 <br /> l�'�fSH��� <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. (Please print) � <br /> SIGN LOCATION ADDRESS: �59� ��d��'�'J�E �� ' O'��U> �� <br /> BUSINESS INFORMATION: <br /> Name: WOQF/�'G Td� <br /> Address: ��qlo Sf1Cb2E'�/�/� ,C7,e/u� City:Q/2a/�6 /�j�IP: <br /> Contact Person: /�J�� k�+�L / ,c.i�a �y,���,1. <br /> Phone: <br /> Email and/or Fax /��j!KL'�L�Q�a�• /�I G fd�L � Co/�7'- <br /> APPLICANT (RESPONSIBLE PARTY): <br /> Name: T6R.W/�5�'if� Cv�/���2UCT /o� <br /> Mailing Address: / 3'�'"o V�/ILL�✓IA�P /.?Vc c Cit :W�GC�� n�IP: ✓�vo�a/ <br /> Contact Person: ,L,QcJO� <br /> Phone: 70?� � �1a. — !�B 7 <br /> SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS): <br /> Name: <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board � X g � F�2a�/T ai- tg���� 6 '�� � ""'�� 6 —�" !'�O <br /> ❑ Banner ��� '��Y 7 � <br /> ❑ A-Frame 5 ��� � �Vi <br /> ❑ Balloon <br /> 0 Other(specify) <br /> �-6�IC /�T �/G'�"cri - <br /> For signs not attached to a building, provide locafion sketch on back of application, <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> violation; <br /> • The Ciry 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 le st d m removed from ublic view at the end of the ermit eriod. <br /> Applicant Signature: l — Date: .3�.��� �cp <br /> For Multi-Tenant Buildings: <br /> Property Owner or Manager Signature: �� �I Y� Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email Address: <br /> w:\(applications,license or permit applications)\sign permit-temporary application v1.doc <br /> Updated: 03/25/2015 <br />