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,¢�� City of Orono FOR CITY USE ONLY <br /> O O �'•U�B�x 66 t <br /> � 2750 Kelley Parkway Date Received: -��/ � <br /> r� � Crystal Bay,MN 55323 �9 <br /> ��c,,�,�xo4i` Phonc:(952)249-4600 Fax:(952)249-4616 Permit Number v�0//- Qd �j� <br /> ������.ci.�,run�,,mn.u� <br /> - — - Permit Fee: 2$ 5.00 n C 5��Z <br /> c� <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie� <br /> Tent Information: 3 3 x 3 3 C�� <br /> Date of Event: � � �� Size of Tent(s): �UK I v �Z� Number of Tent(s): 3 <br /> Does the tent have sides? �� Yes <br /> Please include Fire Retardant Information,f'rom the rental company for tent(s)AND a Sketeh <br /> or Drawing of where the tent will be located on the nropertv along with this application. <br /> Owner Information: <br /> Site Address: 35�� ��� l�— �IY� � l�"V� � '"' �' �3� I <br /> Owner: Y VI C��I.�X K.C.�P��/ Mailing Address: �C��� �� �--�U✓�. <br /> City: U✓v�(�-� Zip: <br /> Home Phone: Alternate Phone: (_.�! ,��• � � ' �� �T <br /> Contractor/Applicant Information: <br /> Contractor/App.: Contact Person: <br /> Address: City: Zip: <br /> Phone: Alternatc Phone: <br /> Fax: Email: <br /> I hereby apply for a pennit and acknowledge that the information abqvc is complete and accurate; that the work will be in <br /> confonnance with the ordinances of the City of Orono and the Min sota Fire Codes;and I under this is only an application for a <br /> permit and work is not to stari without a permiL � <br /> ,� � ln /� l <br /> Applicants ignature/Datc <br /> ------- --— <br /> Permit Approved By: Date Approved: <br /> Reset Form `��1Peirtl05�"�" <br />