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• <br /> r \ City of Orono <br /> Temporary Sign Permit Application <br /> O Mailing Address: Permit number: 020/0 -0073 Li <br /> PO Box 66 <br /> Q O Crystal Bay, MN 55323-0066 Date received: <br /> a " ,-c- a. Street Address: Received by: <br /> �.4' ,00 �Gti 2750 Kelley Parkway $35.00 <br /> Permit Fee: <br /> 9kESHoj` Orono, 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 /> BUSINESS INFORMATION: <br /> Name: cL vv e M Oi�i•�� ' ✓ i/G 'To e d S <br /> 2 j " � � <br /> Address: 2 1 b'V , 0,1A,14-7,0d-o- 1 / City: C1, ZIP: <br /> Contact Person: (LIM - L`shV - _)t)r)1`u i <br /> Phone: ;,,,-)-C - a N <br /> Email and/or Fax J - / <br /> c �•) 11 a1/1, /-11/1itM (791. <br /> � IL <br /> APPLICANT (RESPONSIB E PAM- : lr <br /> Name: � ( Lk.�l, A. lc,l." 7 <br /> Mailing Address: IQ ' 0/01A47,( L ( City: y ZIP: <br /> Contact Person: L 4S-t <br /> Phone: <br /> SIGN COMPANY/OWNER (IF NAT,SAME AS BUSI�E . <br /> Name: /\\J <br /> Address: City: ZIP: " <br /> Contact Person: &I1a �^.� JU (,,k <br /> Phone: <br /> 5-2_ — Yo l— 2 2-Op <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader boardI ./ ,� �/f .�..Banner X X al,*) , . < — / I. _ > <br /> ❑ A-Frame 1 wc-,uu <br /> • <br /> O Balloon <br /> 0 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 portaple stand!-m t b_ remo ed from public view at the end of the permit period. <br /> Applicant Signature: -., Date: /� .--1 <br /> For Multi-Tenant Buildings: / v <br /> Property Owner or / <br /> Manager Signature: , Date: _ <br /> Printed Name of Property Owner or Manager: '/i f F gig /t <br /> .A Z- *'61 - 6-- , <br /> Phone Number: /J�- (--/-7 ..3 3 2 mail and/or Fax Number: <br /> fppro\1'e 9 --/a— io NIA 1 ni c� <br />