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City of Orono <br />P.O. Box 66 <br />2750 Kelley Parkway <br />Crystal Bay, MN 55323 <br />Phone: (952) 249-4600 Fax: (952) 249-4616 <br />%-A,Nv.ci.orono.mn.us <br />FOR CITY USE ONLY <br />Date Received: <br />Permit Number <br />Permit Fee: $25.00 <br />CITY OF ORONO - TENT PERMIT <br />(All tent permits must be approved by the Fire Chiej) <br />Tent Information: :1 <br />Date of Event: I !� 1 t$ - 3 <br />t� Size of Tent(s): -s`tx �9 Number of Tent(s): <br />Does the tent have sides? No &D <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: 1444 stAWL15 L trjs DY"L <br />Owner: 401%V -I) 6400ZDJ Mailing Address: <br />City: u-�-;,ac's <br />Home Phone: $Sa - T46 T"q <br />Zip: S531-1 l <br />Alternate Phone: 61a.31ba -414 0 6 <br />c..Zke STov-e�A- <br />5" Cjl <br />Contractor / Applicant Information: <br />Contractor/App.: Aw*k Jvtr ,\ley Pa%x-SPSC-Contactt- <br />Person: 5lnm <br />Address: 1444 9VWtaAOt OQ� <br />Phone: ct� ` 449 `` 11c I <br />Fax: w)A <br />City: VP PrA-it3K"M Zip: 1 <br />Alternate Phone: 61-X. 3a;1 9W <br />Email: WV -E • SK'ktV,41! �j t, c. o <br />1 hereby apply for a permit and acknowledge that the infonfation above is complete and ac at the work will be in <br />conformance with the ordinances of the City of Orono andZT <br />e re Codes- stand this is only an application for a <br />permit and work is not to start without a permit. <br />'cis ate <br />Permit Approved By: <br />Date Approved: <br />(Turd P=it 05/04/11) <br />