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p City of Orono <br /> O 0 P.O.Box 66 FCSA'.:CI 'l.• 1 l)NI.Y' <br /> `S 2750 Kelley Parkway :. •;ti.. • • .;., <br /> ;+kj; 1/ Crystal Bay, Date2 C� <br /> i3 MN way eoeived': .a �""•:/. /(F <br /> '!' * Phone:(952)249-4600 Fax (952)249-4616 PC IIi t Nii?r�b� `:{ Z't .j�.-- i`: <br /> ' 4'.0; <br /> www.ci.orono,mn.us .. ;.:..,,:. • . ,;, .. .... . <br /> PermitFCe: IS-40..g:• : '_,.:C '5?7 7 <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie f} <br /> % 34 ` ptil <br /> Date of Event: SEIF 31 2-0() Size of Tent(s): (p0' it 1ZAt <br /> ,. Number of Tent(s): 1 <br /> Does the tent have sides? No Yes <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 /> !!1��'" �![Ili'�jnl tii�',�Y`tt°ti4+lfilti'�IIRI��! 11`u��f!�I��i {��pl�i}'41 flr (t� � + <br /> ibi!If>�i%Irt N�yfi�i;airi a���h Idn t il'�4,lil�lll'.ii�l�!�li.��1i1H111�1�lil�l I�1�i 111 l+ �'k�jj(�,1'�1� . <br /> ��11'.Il..�, r�Ati'I L.�l,L�Il.lntl'� <br /> Site Address: 4045 IZT©0 t4 RD OFoNit M t 5"S 1 <br /> Owner: eff- 'i ` ' PJ\-wc Mailing Address: 404< W jZTWA gb <br /> City: EEI,M�)G-E}� Zip: at of vki3 5�35ti <br /> Home Phone: (g' 4 IOU—46+-7 Alternate Phone: q ' Ca "�,L.,1,h(1WQ. az, ('Sz) 4710- (o 1 tos' l <br /> ( la-) 1 L3—32)93 <br /> , I,1 iiiil "pi 1ii ff1I! t nk pi liCt j iii+!iVi L;1,: <br /> x1 <br /> ) <br /> Contractor/App.: lP LT t t-AA.'yqq tU N' $Contact Person: A Luso0 TY\t,t4seLL <br /> 33 L w:)catL- M.S.City: 13 t0L 4-okf.- I Zi MN s-5.4-' ) <br /> Address: p: <br /> Phone: 05'ZJ '35b (vim— Alternate Phone: 61SZ.- 34(Q — al 2., <br /> Fax: Email: Gitipok Rk�t2.11 @, Uzi — 'MvA.. co"— <br /> . <br /> I <br /> o"-- <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.. ly an application for a <br /> permit and work is not to start without a permit. <br /> ' ' •--,.:.r .v ' t • / FB-a--toll • <br /> .... App lean,: Si. 1 aturefDate <br /> Vd./tom/ _ V (3"--: -A <br /> P If it Approved By; / Date Approved: <br /> Witidnignilite <br />