2012-00860 - sign - temp - Laserfiche WebLink

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k City of Orono \► �'}� Temporary Sign Permit Application Mailing Address: � PO Box 66 Permit number: I g, Crystal Bay, MN 55323-0066 Date received: Street Address: Received by: 2:P 2750 Kelley Parkway Permit Fee: $35.00 �kEsso4`� Orono, MN 55356 _- If mailing,add$2.00 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 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: Address: '? C City: 4,0&Q ZIP: rNq Contact Person: Me- Phone: (�(Z - 9/ b- 67c Email and/or Fax 0 C Q Z:, m c, 2- APPLICANT APPLICANT(RESPONSIBLE PARTY): Name: A�rrt A(•��,-� Mailing Address: City: ZIP: Contact Person: 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: Danes Sign to be Displayed: F1 Portable Reader board Oa%,4 32 '(—r— d. 4pnW oy' 3i '12 [Banner ❑ 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 , emove any temporary sign erected in violation of city,state or federal regulation; • The sign(s),sign su s or pbrtable stand must be removed from public view at the end of the permit period. Applicant Signature: Date: /3 0 For Multi-Tenant Buildings: Property Owner or Manager Signature: Date: Printed Name of Property Owner or Manager: Phone Number. 612 Email and/or Fax Number: t7/L4 C,CAe-y Q—