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,I <br /> �O y� City of Orono FOR CITY USE ONLY <br /> i V P.O.Box 66 a <br /> 2750 Kelley Parkway Date Received: .5 <br /> Crystal Bay,MN 55323 <br /> A `fi Phone:(952)249-4600 Fax:(952)249-4616 Permit Nwnber ! g VV <br /> www.morono.mmus <br /> �t 9.0 Permit Fee: 2 <br /> 'tkrsrto�`` <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fare Chiefi <br /> RVENCEEMM <br /> Date of Event: to/14 Size of Tent(s):*Y)!Q, 5 Xumber of Tent(s): L5 <br /> ib)cl(p <br /> Does the tent have sides? No es <br /> Please include Fire Retardant Information from the rental company for tents)AND a Sketch <br /> or Drawing 0where the tent will be located on the nronerey along with this application. <br /> Site Address: 315 71„n a. t2c>o-al Lhyi4 (-&kL, m tj '650 stp <br /> r <br /> Owner: Ma } N c1Jl:ll c Mailing Address: 3i5 `1"a rx ka-t i;&-'Poi <br /> City: th on La 14.t Zip: �7�J'�y v 10 <br /> Home Phone: I c l Z— =� ?Z�- Alternate Phone: <br /> Contractor/App.:Min a.{&&3- �14..tat Person: <br /> Address: IQ iLt'fx `t+45Y_1._<E- City: Zip:—6s-fl(}- <br /> Phone: {2p_ Lr2lo•-Z fl{o Alternate Phone: to[t-1.206-4kZ(_ <br /> Fax: 4t 12-Lot 4--?R Email:a j7C, `mC.tZ 00 a ry,r►.,ej t <br /> I hereby apply for a permit and acknowledge that the information above is complete and accurate;that the work will be in <br /> conformance with the ordinances of the City of Orono and the esota Fire Codes;andI erstand this is only an application for a <br /> permit and work is not to start without a permit. <br /> fi'''t,`� <br /> A pUcants Si ature/Da <br /> S-Z 3 <br /> P�011t Approved By: Date Approved: <br /> c '�sro+ial <br />