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A Y City of Orono FOR CITY USE ONLY <br /> {V P.O.Box 66 <br /> 2750 Kelley Parkway Date Received: q , ' <br /> Crystal Bay,MN 55323 , ry <br /> Phone:(952)249-4600 Fax:(952)249-4616 Permit Number r„2.0/47 el? <br /> 6 Zr <br /> www.ci.orono.mn.us <br /> Permit Fee: $25.00 <br /> <4 it <br /> Ch. LS Ilk. dm-LA-fir <br /> CITY OF ORONO - TENT PERMIT RECEIVED <br /> (All tent permits must be approved by the Fire Chief) <br /> APR 041016 <br /> a:,a; � ,.,r�Y. ' ' .' ,r'4� �,�,v •mow i <br /> J CITY OF OR O <br /> Date of Event: 1 I t (DI l(J <br /> Size of Tent(s): �X I OO Number of Tent(s): 1 <br /> Does the tent have sides? No d re o\tokb\e S ld e. V\10\\\ <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 /> , � - -,-- a <br /> Site Address: <br /> Owner: eA n \\NOmbo I dv Mailing Address: wme, Qt S c o 4e1 <br /> City: Orono Zip: 55,33 0 <br /> Home Phone: (0 i- Bk _I - Cj 0 2 V Alternate Phone: <br /> 'al'h' �q• <br /> .ff.'s, 'sr Y L r <br /> iz <br /> Contractor/App.: &i n MItt mon Contact Person: S\ Bok ch <br /> Address: 3t08 Vlor1doi eves • City: -.Lai-rs Wiry_ Zip: 5 2(o <br /> Phone: llt'2_ 1 -0300 Alternate Phone: (U 12-81 (1 - 31 ( 1 <br /> Fax: Email: (11(&C C\21-ig hotmo,I. corn <br /> I hereby apply for a permit and acknowledge that the information above is complete and accurat ; that the work will be in <br /> conformance with the ordinances of the City of Orono and the Mii esota Fi •C..e‘;a • I and• stand th s is only an application for a <br /> permit and work is not to start without a permit. <br /> Applicants Signature/Date <br /> Permit Approved By: Date Approved: <br /> ,.d °1.a <br />