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Ap�. ?5. 2��'� 'L:�iPN i1o. 1�4; . � <br /> Ciry ot Orono <br /> y�Q�O P.O.Hox 66 ``' �OYt CT1'Y CJSE ONLX <br /> 275�IZelley ParkwBy l�ate Received r Lj�_� <br /> Crystal Bay,MN 55323 � <br /> Phone:(952)249-4G00 Pax:(952)2A9-A616 1'ermitl�'u[i1bGx ,� �� �' <br /> � � unvw,ci.orono.m�Lus � <br /> G Pennit Feg;.�25:00' � � <br /> �t�kESHO�� , �- <br /> CX7"Y O�' O�tONO - TENT PER.�V�XT <br /> (rlll ter�t pennits n�:rst be appro��ed by the Ftre Chief} <br /> � � � . <br /> 'Ten���1�i�?�f'�`' -, �. 4 � , S� � <br /> Date of�vent� "I �J� Size of Tent s : <br /> ( ) � Nurnber of Tent(s): .� <br /> Uoes the tent have sides? No �es '��a a <br /> Please zraclutle�reRetar�fnntln/'orrartrlroti from z�e��Pnta1 cornparryfnr�tetrt(s)AND 6'Slcetc)� <br /> orl7rn►vir:�o(iJhe7��ilie�te�rt:wrll be Xocater!a�i.the n'roUer�tv alahg�vi�h�this applicatron� <br /> uer�tifo�tu t�� '''` <br /> ��.:�'' � <br /> Site Address� ��� �(`,� �'", �, <br /> Owner: ` Mailing Address: ,���C.� (��')Ll�(�, <br /> � c��y: YD+�� . z��: .���1 _ <br /> Home Phone: _ _ Alternate Phone� ���d��..� <br /> V�h�ll��'�C�/1 <br /> �;�ontra � �ano�l ` <br /> Contractor/A �(�'� � .y � �[{� ��ontact Person; �' � <br /> PP�' � S—t�71 <br /> Address: �Po��J' �t�j �, Ciry: � V�1G1 Zip:��--�.--v <br /> Phone� "I.�,��}�o�^� Alte�nate Phone� � �c�..�, ��Z.�j <br /> Fati: ��� �1 yo�-�1( � Email: ��'��Q,}�Y�S ��,�l�i`Y'1 <br /> I hartby appl�.for a permiL and acknowledge Q�at thc infonnation ve i9 cornpiece ond nccurate;that thc work wifi bc in <br /> conformanet�yitb the Ordinances of the City of Oraw and thc Minne 41 ire CodcS;and I i,ndo stand this is on ly an applicativn Ibr a <br /> p�rmit and work is rtoi t0 start Without a ptrmi[. <br /> `� /��,� <br /> App tcnnts Si�nature ate <br /> i <br /> � L� - <br /> � ��-� ��`� �'ZJ(J <br /> P mit Approvcd�y: Date ApE�roveA: <br /> � <br /> CL�r�nos�oi�� <br />