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City of Orono <br /> Temporary Sign Permit Application <br /> Mailing Address: <br /> W <br /> Permit number: � ��f 013/Crystal Bay, MN 55323-0066 Date received: rD <br /> Street Address: Received by: 4 2750 Kelley Parkway Permit Fee: $35.00 <br /> 'kEsrtfltOrono, MN 55356 <br /> If mailing, add$2.00 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> SIGN LOCATION ADDRESS: G ���� ' . <br /> BUSINESS INFORMATION: <br /> Name: O T-1-- t j( R-() <br /> Address: AO,v �1 :� :...� • <br /> iCity:L.,4)4 L- E ZIP: <br /> Contact Person: , <br /> Phone: ��� - - 5<1 <br /> Email and/or Fax �G . ;�r��i Ct Cy -r Fa 1 e c r- ol��, - <br /> APPLICANT (RESPONSIBLE PARTY): <br /> Name: t= 4 <br /> Mailing Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: D ice- �:-1 fs p-4_E-,4 4-r <br /> Address: L91:3a Div, City:b►,<-FF , ZIP: <br /> �S=3i3 <br /> Contact Person: JL.E.1 •n�-- <br /> Phone: • col - `D`1. <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> Portable Reader board 4_ k U 1113 <br /> 0 Banner Lr U Did <br /> O A-Frame <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs not attached to a building, provide location sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> violation; <br /> • The City may,without notice, remove any temporary sign erected in violation of city, state or federal regulation; <br /> • The sign(s),sign supports or portable stand must be removed from public view at the end of the permit period. <br /> Applicant Signature: 11 Date: <br /> o I lc, <br /> For Multi-Tenant Buildings: <br /> Property Owner or Manager Signature: Date: <br /> Printed Name of Property Owner or Manager: <br /> Phone Number: Email Address: <br /> w:\(applications,license or permit applications)\sign permit-temporary application v1.doc <br /> Updated: 03/25/2015 <br />