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�O A Ta City of Orono FOR CITY USE ONLY <br /> iV P.O.Box 66 <br /> 2750 Kelley Parkway p� �' Date Received:Ir-,j a� 1i6 <br /> Crystal Bay,MN 55323 <br /> Phone:(952)249-4600 Fax:( g4 E© Permit Number / c?d 1 to (2'/1) <br /> S www.ci.orono.rnn.us <br /> C APR 2 2 2016 Permit Fee: $25.00 <br /> 1kESHO 0 <br /> CITY OF ORONO <br /> CITY OF ORONO — TENT PERMIT <br /> (All tent permits must be approved by the Fire Chief) P\I" <br /> Date of Event: c1 "/ Size of Tent(s): Lip' x (o 0 Number of Tent(s): / <br /> Does the tent have sides? 1\ 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 /> , snrari <br /> 3 � £ <br /> Site Address: 916 5ct-r+ .a(\ ' -cC/- ►v:(21c t7(aih , 15 <br /> Owner: tekly �€XCI� Ych Mailing Address: Same- — Si <br /> City: Zip: <br /> Home Phone: (lo 12) 5 `� _ (22-(e _ fre t iLf Alternate Phone: ((o IL) 15L - 4 y 2 -0eYe..L <br /> Contractor/App.: vv� ( (1 <br /> ASa C taW Sc++n "u�,p c�n�`Contact Person: �'.�eY0 <br /> Address: 52-51 (yrs-K.04D. City: MZip: 5S 1-15 <br /> Phone: ((Q l Z) 231 - -1(-1(pol Alternate Phone: (5)-4:)-9(p-tp- S 3! 5 <br /> Fax: Email: c (A w SOV) OtL{Vtl{ k hoo. Co m <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 /> Permit Approved By: Date Approved: <br />