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,�p�, C�ty of Orono FOR CTTY SE O Y <br /> O O Y.O.Box 66 ;: <br /> � 2750 Kelley Pazkway Data Received �' �� <br /> � � �' Crystal Bay,M�I 55323 <br /> tti��,g�oa$� Phone:(952)249-46D0 Fax:(952)249-4616 PeYtrritNumber'Q�� � r ;: _ � <br /> www.ci.orono.mn.us p��t k'8e 2$ 5 00 <br /> CITY OF OROND - TENT PERM�T <br /> (All tent permits must be approved by the Fire Chie� <br /> �'Te�f�Tnf�rm�t��S� �=�:��=� ,� �" s� <br /> - �PL'^�T.`� t' 4i' �� <br /> Date of Event: 4��5" ��- Size of Tent(s); �D X '�S � ' <br /> Nunrzber of Tent(s}: / <br /> Does the tent have sides? No Yes <br /> Please include Fire Retardant Inforrnation from the rental company for tent(s)f1ND a Sketclz <br /> or Drarvin�of where tlte tent will be located on tlie nr•onertv along with this application. <br /> 'nwz7er'T�nfozmat�o,n `�, � �` _ _ <br /> Site Address: 3 o7a �'G�'r v/t�.c,r, L11--� <br /> Owner: �.CGU� ��Q1i� t����-�1 MailingAddress: 307� f-��rV�u��7�..� <br /> City: � � Zip: J�J�3�10 <br /> Home Phone: �5�- �7 3 78 29 Alternate Phone: l��Z 7 Z-C� �-7 S� <br /> ���. - -�----�-�---- <br /> �G�ntractQ�L�A��I��,aii,t��zma�tnri:=��;;'",=��=_�-_�` <br /> .-�—.-�T -� �.�.._.� - - - <br /> Contractor/App.: Cantact Person: <br /> Address: City: Zip: <br /> Phone: Alternate Phone: <br /> Fax: Email: <br /> I hereby apply for a permit and acknowledge tl�at the information above is comptele and accurate; that the work will be in <br /> confonnance with the ordinances of the City of Orono and the Minneso�e Co ;and I understa�d this is o�ly an application for a <br /> pennit and work is not to start without a pennit. <br /> i g aa r a. <br /> Applicants Signature/D1te <br /> / <br /> _ �'�2���2 <br /> P it Approved By: Datc Approvcd: <br /> u <br /> �;e'_.�t:Qf�da7l�i <br />