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� , p,2 <br /> g0�� City of Orono FOR CITY USE ONLY <br /> � <br /> /�0.', 0�\ P.O.Box 66 / <br /> II � � 2;50 Kelley Parlcway Date Received: � �� � <br /> ','+� �i�'y,'; �'�� Crystal Bay,MN 55323 <br /> ���t�;r`�'';�j°.'� Phonc:(952)249-4600 Fax:(952)249-4616 Permit Number <br /> \-;�KOi <br /> .►ww.ci.orono.mn.us <br /> Permit Fee: �25.00 <br /> CITY OF ORONO - TENT PERMIT <br /> (�ll ient permits mTast be approved by 1he Fire Chie.f} <br /> Tent Information: <br /> Date of Event: �+ v � . �� � Size of Tent(s):�� X ��� Number of Tent(s): � <br /> Does the tent have sides? No Yes U r� l<-( f�'' r'`c�-;� <br /> Please include Fire Retardant firformation frorn the r�ntal compatry,for tent(s�A1VD Q�'ketch <br /> or Drawing of where the tent will be located on the arovertv along with this application. <br /> Owner Information: <br /> Site Address: l �--� � ��'`� �-C' �'U I c.�. ��f , v l�c:'�'� C3 <br /> ` 1 n 1 �G �� �C'i�1��� t�ri .S-�' <br /> Owner: ,-`t C:�ti d-�c7 J'� ���C;'` Mailing Address: <br /> ct�: �� ��f-� __ z�P: S ��:�� i <br /> Home Pbone: �� � Z-' � ,7� " ����� Alternate Phone: �� � z � � �-� 3 � 3 <br /> Contractor/Ap�licant Informatioa: <br /> ContractorlApp.: f E . ��1�'�� Contact Person: �� L�����'- �(��lt.��(�'1 C <br /> Address: a� to ��.S �'-4 �h' l � � �. City: C[` I��G� Zip:S 5 �� 3 �f <br /> Ph�ne: � � Z - �`� �� -��D j �' Alternate Phone: � ( L -� � �=� "7 3 3 3 <br /> Fa�: <br /> � -rj'z�- ��4 Z —�! I � Email: � l 1�oY��C:S i c+i'jS�: ��G(,.C..�-� <br /> I hereby apply for a pertnit and acknowledge that thc information above is complete and accurate; that the work will be in <br /> conformance wi th the ordinances of the City of Orono and the Minnesota Fire Codes;and T understan is is ooly an application for a <br /> permit and�vork is not to stan without a permit. ' ���� 1 �a /C1 � <br /> ,l� �-C�i � , r <br /> Applicants Sigaature/Date <br /> Permit Approved By: D�te Appmved: <br /> Reset Form �T�=r�+�es�oa�i� <br />