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� �o�o <br /> � � <br /> Orono Park Donation <br /> y � Application <br /> F G� <br /> ��kESHV�� <br /> ' • � � • <br /> Donor Name <br /> Address <br /> City, State ZIP <br /> Daytime Phone <br /> Email <br /> � . . . . <br /> Donation Type <br /> Desired Location (park name or street address and describe the location within the park) <br /> Donation Amount (please see program for current donation levels) <br /> Proposed Plaque Text (reviewed for appropriateness to policy and subject to approval) <br /> . : . <br /> I have read, fully understand, and agree to abide by the attached Donation Program Policy. <br /> Signature of Donor <br /> Date <br /> Please complete and return this form with your check for the total amount (payable to "City of <br /> Orono") to: City of Orono, 2750 Kelley Parkway, Orono, MN 55356. If you have any <br /> uestions, please contact one of the Park Commissioners or Cit Staff at 952-249-4600 <br /> 6 <br />