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/ � �' City of Orono FOR CITY USE ONLY <br /> P.O.Box 66 /� <br /> (0 6.\\,\ <br /> 6.\\,\ 2750 Kelley Parkway d y tJ <br /> �l b` .�. �� Crystal Bay,MN 55323 Date Received:7/02o A0 Permit Fee: <br /> ',.,,,l`t...',4,46),.% (952)249-4600 C230/Q— Q(76C7 0 1 <br /> Permit Number: <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chief) <br /> Tent Information: <br /> L.tsDate of Event: , Size of Tent(s): �� K ion Number of Tent(s): f <br /> Does the tent have sides? g Yes Alli<ea:N<4. `f a--,. l2 <br /> Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch <br /> or Drawing of where the tent will be located on the property along with this application. <br /> Owner Information. <br /> Site Address: , -- S O (p_1(ctV & .-- 'l v-e <br /> Owner: Ve(9-1,1-4-P kI Al "`-v' Mailing Address: )5-S-0 Lasd k '`^ I"Xe-- <br /> City: O Yo',A-0 A W Zip: SS 3s <br /> Home Phone: (o l 2-Th&7i -0 Ef Alternate Phone: <br /> Contractor/Applicant Information: <br /> Contractor/App.: Contact Person: <br /> Address: City: Zip: <br /> Phone: Alternate Phone: <br /> Fax: Email: <br /> I hereby apply for a permit and acknowledge that the info .tion a ve it• •lete and accurate; t at the work will be in <br /> conformance with the ordinances of the City of Orono and the Mi nesdta ' I••es; nd I understand this i only an application for a <br /> I <br /> permit and work is not to start without a permit. ' <br /> / I`2.-tiLetc <br /> I . , cants Signature/Date <br /> Permit Approved By: Date Approved: <br /> (Tent Pernik 09/01/09) <br />