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City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 / <br /> 2750 Kelley Parkway Date Received: <br /> Crystal Bay,MN 55323 ^h <br /> a <br /> Phone:(952)249-4600 Fax:(952)249-4616 Permit Number501 [,CJ <br /> s www.ci.orono.m�.us <br /> �e G` Permit Fee: 2S 5.00 <br /> E <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chiefi <br /> Tent Information: <br /> Date of Event: Size of Tent(s): 0 Za Number of Tent(s): 13 <br /> 30N30 <br /> Does the tent have sides? No es 2 D X ZO <br /> Please include Fir,f Retardant Information from the rental company for tent(s)AND a Sketch <br /> orrawltneywhire the tent w# [ .on the nronerty:along with thisapplication. <br /> Owner Information: <br /> Site Address: (W t (� <br /> MA(' <br /> Owner: &W 1 M d1/A MA('rVtf`L(/i� Mailing Address: - -T6YI it <br /> City: O iy ►'l b Zip: (AN I' y <br /> Home Phone: 2— qla " S L Alternate Phone: �1Q 12 73 <br /> Contractor/Applicant Information: <br /> Contractor/App.: N b W 4MU S-, Contact Person: �I <br /> Address: lqol w vAi6CC City: (,1 LS zip: S I <br /> Phone: C D =�fj Z V! �Q Alternate Phone: <br /> Fax: Email: _� �� VCM no <br /> 4 <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 understand this is only an application for a <br /> permit and i.�k is not to start without a permit. a <br /> Applicants Sig iureJD to <br /> Permit Approved By: Date Approved: <br /> Rea as�oa1 q <br />