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� ,¢p�, City of Orono FOR CITY USE O LY <br /> � � P•O. Box 66 � ��� <br /> �*��--�. 2750 Kelley Parkway <br /> a ���,'' ,�' Crystal Bay,MN 55323 Date Received: I <br /> �' ������`° � <br /> ��Ho$ Phone:(952)249-4600 Fax:(952)249-4616 Permit Number ��� .�O <br /> www.ci.orono.mn.us � <br /> Permit Fee: $25.00 � <br /> �� �s <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits rrti�st be czpproved by the Fire Chiefl <br /> Tent Information: <br /> Date of Event: 9��5" ��-- Size of Tent(s): �D X 5�5 � Number of Tent(s): / <br /> Does the tent have sides? No Yes <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 vroperty along with this application. <br /> Owner Information: <br /> Site Address: 3 070 �a'r V/ �'_c,c, LI� <br /> Owner: �.-CGU� ���� ���4 Mailing Address: �070 �'/"►�l�uJGn� <br /> , <br /> City: ��� Zip: �s 3�(� <br /> Home Phone: �5 2 �7� 78 2�'j Alternate Phone: (o�Z 7 ZD Z 7 S� <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 information above is complete and accurate; that the work will be in <br /> conformance with the ordinances of the City of Orono and the M innesota Fire Co��ff s;and I understand this is only an application for a <br /> permit and work is not to start without a permit. � ����� <br /> i g aa �� <br /> Applicants Signature/Date <br /> Permit Approved By: Date Approved: <br /> (Trnt Permit OS/04/l�l) <br />