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City of Orono /r✓�` <br /> P.O.Box 66 `� G FOA CITY USE ONLY <br /> Q 2750 Kelley Parkway Date Received /D <br /> Crystal Bay,MIV 55323 n <br /> o Phone:(952)249-4600 Fax:(952)249-4616 .� f Permlt Number (�' Jt— <br /> � www.ci.orono.mn.us <br /> Permit Fee. VF <br /> �, .. <br /> SH <br /> oQ`� C <br /> CITY O'F=ORONO - TENT PERMIT C/ o�� 8 <br /> ( p approved b the Fire Chie *% <br /> Np <br /> Tew In&nudm- <br /> Date of Event: ou, t l c_o Size of Tent(s):Zo,. -�jp i Number of Tent(s): <br /> Does the tent have sides? NoYes f <br /> k Ufa t 0 <br /> U x2Z(2-) <br /> Please inchtde Fire Retardant Information from the rental company for tents)AND a Sketch <br /> or Dm nr of where the tent will be located on the oronerty along with this application. <br /> t3w>aa <br /> Site Address: 31 S -17bn _ � <br /> Owner: Maf-kin: Mcir.YYI;uay-i Mailing Address: +� <br /> City: Zip: <br /> Home Phone: c,,k, - �hjn "� Alternate Phone: <br /> C /Appiant WonnWom <br /> Contractor/App.:Cs ti r i rn cnne p�cA Contact Person: <br /> Address: E\0, c 4-,.L Arses 4 , Q.S. 'r City: Zip: t5!t i Lf <br /> Phone: Alternate Phone: (-L 9 Qa IS-1.444) 1 <br /> Fax: c rz�' -cta2�—L 19 Email: <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 Minnesota Fire Codes;and I understandy an application for a <br /> permit and work is not to start without a permit. <br /> "'T <br /> Adze, <br /> Applicants Signature/Date <br /> /V,4(//1 V /( , I c. <br /> P t Approved By Da pAte proved: <br />