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, , , � � City of Orono Temporary Sign Permit Application Mailing Address: '�0.� PO Box 66 Permit number: Q .,� Q Crystal Bay, MN 55323-0066 Date received: � � � "'�,. � Street Address: Received by: �c� - p� 2750 Kelley Parkway r9kEsxo4`''� Orono, MN 55356 Permit Fee: $35.00 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. (P/ease print) BUSINESS INFORMATION: Name: Address: Cit : ZIP: Contact Person: Phone: Email and/or Fax APPLICANT(RESPONSIBLE PARTY): Name: Mailing Address: Cit : ZIP: Contact Person: Phone: SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS): Name: Address: Cit : ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: ❑ Portable Reader board ❑ Banner ❑ A-Frame ❑ Balloon ❑ Other(specify) For signs not attached to a building, provide location sketch on back of application. APPLICANT ACKNOWLEDGEMENT: • Viotation 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 si n s , si n su orts or ortable stand must be removed from ublic view at the end of the permit eriod. Applicant Signature: Date: For Multi-Tenant Buildings: Property Owner or Manager Signature: Date: Printed Name of Property Owner or Manager: Phone Number: Email and/or Fax Number: