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City of Orono <br /> Temporary Sign Permit Application <br /> Mailing Address: a �a <br /> oogg <br /> O,�O PO Box 66 Permit number: <br /> Crystal Bay, MN 55323-0066 Date received: 5 2� <br /> s, Street Address: Received by: 2/, <br /> Gtiti 2750 Kelley Parkway Permit Fee: $35.00 <br /> t �sx0 Orono,MN 55356 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us If mailing,add$2.00 <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 INFORMAT19N. n r� <br /> Name: Ft if n' 1` U -t <br /> Address: 02 2 d- Ci rah o ZIP: <br /> Contact Person: 42, 6f <br /> Phone: $� " d <br /> Email and/or Fax <br /> APPLICANT(RESPONSIBLEP TY): <br /> Name: , r <br /> Mailing Address: 2 City: ZIP: <br /> Contact Person: <br /> Phone: 0_ ri- <br /> SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): <br /> Name: <br /> Address: City: ZIP: <br /> Contact Person: <br /> Phone: <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ❑ Portable Reader board ��-5-12, -10 <br /> Dr-Banner P_ <br /> ❑ 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 able stand must be removed from public view at the end of the permit period. <br /> Applicant Signature: Date: ZG ^ S <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: [[ Date: <br /> Printed Name of Property Owner or Manager:y / J-T2 S <br /> Phone Number: /�ol' 7��" ���Y Email and/or Fax Number. <br />