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City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 C (� <br /> 2750 Kelley Parkway Date Received: _✓ <br /> Crystal Bay,MN 55323 <br /> Phone:(952)249-4600 Fax:(952)249-4616 Permit Number / —ZVJ. <br /> www.ci.orono.mn.us <br /> Permit Fee: $25.00 <br /> gkESHO � <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chiej) <br /> Tent Information: <br /> Date of Event: to/I!} 114 Size of Tent(s):!30 ?X,Tumber of Tent(s): <br /> ►e <br /> Does the tent have sides? No x 142es <br /> Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch <br /> or Drawing of where the tent will be located on the property along with this application. <br /> Owner Information: <br /> Site Address: 315 Tori kcuoa- P-po -o4 , Ltwi.q La-Ve . M1J �5s�3f>lo <br /> Owner: May-}-t Mwa-w k1C-y1 Mailing Address: ` -D VA IGa_lk 70,_`Roj <br /> City: L_h in La ALA- zip: -6s(0 <br /> Home Phone: ( 1������� Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: Min n.e ert+o._l n±rlljao-- aw4ontact Person: m'(411 Q <br /> 60�4"0-- <br /> Address: Iq l 1LCity: W i n n is t>1 i 5 Zip: c55 ! ij- <br /> Phone: 17--Lt-up-ZA-p Alternate Phone: (pi —4b2fo <br /> Fax: (�t 2-l02 - 9�5tf Email:A fC�c MY t,40LL nq n.t I' <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 M' essota Fire Codes;and I erstand this is only an application for a <br /> permit and work is not to start without a permit. <br /> &64- <br /> Applicants Signature/Da <br /> Permit Approved By: Date Approved: <br /> (rentr«mho5muil) <br />