2012-00899 - sign - temp - Laserfiche WebLink

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t� City of Orono Temporary Sign Permit Application Mailing Address: Permit number: d e j — Og, �O Cr Box 66 Crystal Bay, MN 55323-0066 Date received: Z_ �Z �9\ FJ 6!J Street Address: Received by: ��c, i Gtiti 2750 Kelley Parkway Permit Fee: $35.00 l9gEgHo¢`�' Orono, MN 55356 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us If mailing,add$2.00 This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) BUSINESS INFORMATION- // Name: e V f M 11,11f �To1 q t% Address: s' R z v'i, City: 4ro ZIP: Contact Person: Phone: Email and/or Fax APPLICANT(RESPONSIBLE PA�` ):, Name: e 11 �� t LI Mailing Address: 2 7 2 2,eA City: 0'r A,,. ZIP: Contact Person: ' f"c o Phone: ^ SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): Name: Address: City: ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: (( Dates Sign to be�Disspllayed: F1iPortable Reader board `t ^" —�� y K Banner 2-1 -12, ❑ A-Frame ❑ Balloon ❑ Other(specify) For signs not attached to a building, provide location sketch on back of application. APPLICANT ACKNOWLEDGEMENT: • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate violation; • The City may,without notice, remove any temporary sign erected in violation of city,state or federal regulation; • The sign(s),sign supports o rtable qitand must Pe removed from public view at the end of the permit period. ` Applicant Signature: Date: C/ //o Z/ 2, For Multi-Tenant Buildings: Property Owner or Manager Signature: Da e: Printed Name ofProperty Owner or Manager: h e- , � Phone Number: /s�?_ y6v (teta4j(rEmail and/or Fax Number: