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A} City of Orono FOR CITY USE ONLY <br /> 1 Y P.Q.Box 66 <br /> 2750 Kelley Parkway Date Received: ;a/b <br /> Cro5yMN 55323 ( "L Rtltb rpy j / <br /> '► Phone:(952)249-4600 Fax: 9 GED Permit Number �n da l <br /> 2�lI c www.ci.orono,mn.us Permit Fee: $25.00 <br /> �kE5}too. APR 2 2 Z01 <br /> f`Y OF ORONO <br /> CITY OF ORONO - TENT PERNIITe` <br /> (All tent permits must be approved by the Fire Chief) r� 1 <br /> +.�' �t r,.'a..r-n _.•+�.a ei�esp$uao..�wk, � �. i.— <br /> Date of Event: 9 j t /he, Size of Tent(s): 4/01K 1a 0 Number of Tent(s): I <br /> Does the tent have sides? GYes <br /> Please include Fire Retardant Information from the rental company for tent(s)AND a Sdcen:h <br /> or Drawing of where the tent will be located on the property along with this application. <br /> `+ .+�.sus <br /> Site Address: 406 5 ct+C' 1r1 [Zc(). (111 ,k I'(r ih , Not 5s-551 <br /> Owner: het tv. ` N+�t k �r c 1t a,I Mailing Address: SG mc.. <br /> City: Zip: <br /> Home Phone: (Co 12) 59�1 - i2 (e - e I1.r Alternate Phone: to 1L) 232.- b9 Zv <br /> � ! onlf� Ph' 'tr�nfirriiatzon :_ <br /> Contractor/App.: ALIA V a1.w Son -6(10 i coif-Contact Person: vA <br /> Address: 5 G61 C.tcr y11.006Q Dr. City: (111.1 tilt 4 c. Zip: SSI4 <br /> Phone: (cy M Z) 237- IL-1(pol Alternate Phone: (5)f--)))-9(4,— 5 515 <br /> Fax: Email: C.(ct w son clt ts-hol' ;erica.Co 4.-1 <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 work is not to start without a permit. <br /> Applicants Signature/Date <br /> y .it Approved By: 400 Da Approv-•: <br />