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C <br /> of <br /> � +V� P.O.Box Oronob FOR CITY USE�(ONLIi <br /> 2750 Kelley Parkway Date Received: hf i - <br /> Crystal Bay,MN 55323 <br /> A . y Phone:(952)249-4600 Fax:(952)249-4616 Permit Number , Q f(i .R. <br /> www.ci,orono,mn.us <br /> ��l Permit Fee: $2.50 <br /> (_A: is /14-) ettalAi •V' <br /> CITY OF ORONO - TENT PERMIT RECEIVED <br /> (All tent permits must be approved by the Fire Chief) <br /> APR 0 4 2016 <br /> o „ �t to# t% „ -*-% ...,,, ,..--,..„..,„.4,---,440,,v, <br /> 1 zCITY OFOR O <br /> Date of Event: I i I Lip Size of Tent(s): (0O X I O O Number of Tent(s): 1 <br /> Does the tent have sides? No rernozoo e, ,std e vdl» <br /> Please include Fire Retar4ant laj rrnatkan from the rental company for tent(s)AN!)a Add; <br /> or Drgwine of where the(int will be located on the prover-iv along with this application. <br /> Site Address: dX;(:)cd Vs.6 ,. <br /> Owner: `1S yNOA .4- Mailing Address: Wile (X S doo\fe, <br /> City: nr0 Y'1O Zip: 5533(0 <br /> Home Phone: (Q t'L B l 9-c1 Q 2 B Alternate Phone: <br /> Contractor/App.: `Asa 11 Mart awn Contact Person: 3" \ baC kel • <br /> Address: 0 i 1 •_ 4 i ' City: 9`:Lows ?Cr' _ Zip:_C ►--' i Z( <br /> Phone: (D 2' 130-03040 Alternate Phone: (01 2.-81q - 59(Di <br /> Fax: Email:akkrbn 2.4 \ .C..orn <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 1,, esota F C.. ;..d I un i stand s is only an a plic tion for a <br /> permit and work is not to start without a permit. ' 1 <br /> itkkL larAILIAVL ../ 3 b <br /> r Applicants Signature/Date <br /> i <br /> I •* , L.,.....-- (I/ <br /> P= .it Approved By: Date Approve <br />