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' ' ' p City of Orono <br /> ' O¢ �O P U Box 66 FOR CITY USE ONLY ���� <br /> 2750 Kelley Parkway Q"""'�"�'W <br /> - •� ,�+'�• ,� crystal Bay,lvltv 55323 Date Received: �� /� Permit Fee: <br /> �,��ay�: (952)249-4600 U/ <br /> Perrr►it Number: v��!O— O� �- <br /> � .� �aio <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie,� <br /> Tent Information: <br /> Date of Event: �����p2���_ Size of Tent(s): � 1 Number of Tent(s): � <br /> Does the tent have sides? No Yes <br /> Please include Fire Retardant Information from the rental company for tent(.$)AND a Sketch <br /> or Drawing of where the tent will be[ocated on the propertv along with this application. <br /> Owner Information: <br /> r� K � <br /> Site Address: ��� ` C�(�C'�`L}� �� `� � c ,� �p('j \ I Vt� .).hJ <br /> � h ^ 1,� <br /> Owner: `�� � �;�` �'� � (�-�',� Mailing Address: � �-�U)O L�' " <br /> City: � �L�C� Zip: ������ <br /> Home Phone: a1`� � - ��Q� ' ���F� Alternate Phone: (�Q�� '�_ G-�� �v <br /> Contractor/Applicant Information: <br /> Y <br /> Contractor/App.: '' ` � �'e� ontact Person: ' l ��J <br /> Address: �J� � ��� City: �-i[� 4�.�' Zip: 5�,�f� <br /> Phone: ��'�� - �73� Alternate Phone: �ISJ� - y IS����S <br /> Fax: Email: �l � , <br /> I hereby apply for a permit and acknowledge that the information above is complete and urate; that the work will bc in <br /> conformance with the ordinances of the City of Orono and the Min ire es;and I un tand this is only an application for a <br /> permit and work is not to start without a permit. <br /> � � � � <br /> �Ap ' a s S' ature/Date <br /> Permit Approved By: Date Approved: <br /> (Turt Pertnit 09/Ol/09) <br />