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,.�r=�"p`�`�.� City of Orono FOR CITY USE ONLY <br /> :'''� � • <br /> �,`�O O'� P.O.[�ux G6 <br /> �, �� � ; 2750 Kcllcy I'arkway Datc Reccivcd: �� ( o� <br /> '� � ' Crystal(3ay.MN 55323 ����� "�' <br /> ��t�1�������� Phonc: 952)249-4G00 Fax:(952 249-4616 Pcrmit Numbcr v�Ol p2 00 (,�.�� <br /> ,,,�lpNO�,..� � � _. _.._.._._,.___,,,,,,,,,,,,,,,,..,,._� / � <br /> m w�vw.ci.orono.mn.us <br /> --____ crm�t �cc: 25. n/1 — �-�(O <br /> l:l.r <br /> CITY OF ORONO - TENT PERMIT <br /> (All tenl pernrits must be approvec!hy the Fire Chie� <br /> Tent Information: <br /> Date of Event: G � ` �-- Size of Tent(s): �'�X ��jb Number of Tent(s):� <br /> Does the tent have sides? No Yes� <br /> Please inchrde Fire Retartia�tt Informatio�:from the rentnl cvmpany for tent(.$)AND a Skc�tc/r <br /> or Drawi�r�of w/rere tfre te�it wil!be located at the nraperty along►vith this applicalion. <br /> Owner(nformation: <br /> Site Address: "I�JS S CYl�fl(�'VV 4. �,���', <br /> Owner: � �10�'C1 Mailing Address: �3�� C Y11�DC�WO� 1,.�'�� . <br /> City: M���\� ���\`t'� Zip: �jS�j�� <br /> Home Phone: Alternate Phone: �-t�2 — 23 � `" (�q��' <br /> Contractor/Applicant Information: <br /> Contractar/App.: �l\t U�[ ;�l ��(� �P�'Contact Person: <br /> Address: 1���.0��D�Z'a �-VC' �� City: �\'(��[1P(�V7u\� \� Zi ��� � <br /> P�� <br /> Phone: �a�'z� 23�� � �� Alternate Phone: \D�l ' 2-� �"�' ��� <br /> Fax: Emai L• �(0 c�S ('.v M�1w p����l J-h��CP(l�l�.�. ��M <br /> .�.� <br /> 1 hereby apply for a permit and acknowledge that lhe information above is complete and accurate; that the work will be in <br /> confortnance with the ordinances of the City ofOrono and the ir ta Fire Codes;and I understand this is only an application for a <br /> pertnit and work is not to start wilhout a permit. <br /> i 2 <br /> Applicants Signature Date <br /> --��--� ______�_Z _���_/.�_� <br /> P rmit Approved By: Date App oved: <br /> Reset Form `�aiPaiutOSt°""' <br />