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� <br /> 0���4 City of Orono F YZ CITY US]E ONLY <br /> P.O.Box 66 <br /> �u.b 2750 Kelle Parkwa � <br /> � 1,`��,'`:� ,� Crystal Bay,MN 55323 Date Received: �� /� Permit Fee; '� <br /> �gp0y�` (952}244�600 <br /> Pernvt Number: p���� ' ����� <br /> �`9� <br /> CITY OF OIt01�0 - 7I'�1�1T ���l�l[IT <br /> � (All tent permifs must be approved by the Fire Chie� <br /> Tent Information: <br /> (b y� �o <br /> Date of Event; � Size of Tent(s): ��C.�JO Number of Tent(s):Z' <br /> Does the tent have sides? � Yes <br /> Please include Fire Retardant I�for�rration from the rental company for tent(s)AND a Sketcla <br /> or Drawrn�ofwhere the tent will be locate�i on dhe nronerty along with this application. <br /> Owner information: <br /> Site Address: �J�'rJ �✓�'�� �'t�''1 iC� n��� <br /> Owner: � Mailing Address: ��0� � L. � ��� <br /> City: �f�S/l.0 Zip: J��� � <br /> Home Phone: Alternate Phone. �.��' ��- �5�� <br /> Contractor/Applicant Information: <br /> Contractor/Agp.: Contact Person: <br /> Address: _ City: Zip: <br /> Phone: Altemate Phone: <br /> Fax: Email: <br /> I he�eby apply for a permit and ac3rnowledge that the information above is comQlete and accurate; that the work will be in <br /> confomiance with thc ordinances of the City of Orono and the Minnesota Fire Codes;and(understand this is only an application foi a <br /> permit and work is not to start without a permi[. <br /> / <br /> -� Applicar►ts�ignature/Date <br /> f �:- <br /> � � .�./t �i,��o _ <br /> ermtt Approved By: � Date Approved: <br /> (Tent Pumit U910 fJ091 <br />