2012-01166 - sign - temp - Laserfiche WebLink

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�ity of �rono � ' Temporary Sign Permit Application Mailing Address: Permit number: �g,� PO Box 66 �/Q Q\� Crystal Bay, MN 55323-0066 Date received: � �""'��'��Z / � ,� �� II ��• �� I' Received by: �1� ��!�,�,,x, a�; Street Address: \�'�, ��''� �;r�, �ti�' 2750 Kelley Parkway Permit Fee: $35.00 ��'��kESHo�� Orono, MN 55356 � If mailing, add $2.00 Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) BUSINESS INFORMATION: - � Name: ::n �(�, G�� _ J�C Address: City: ZIP: Contact Person: Phone: Email and/or Fax APPLICANT (RESPONSIBLE PARTY): Name: �i � � S -� Mailing Address: Cit : ZIP: Contact Person: -..�� r Phone: SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS): Name: Address: _ � ��c� n "�(� � > �e�� ,S�y City: ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: � Portable Reader board � 1-t�-�P /c�/' � �i(�I Y�'x �IA�K--S �� ,.�-� �,, 7 ❑ Banner _� I � �3�I Z— I� �l �L�' �L. ❑ A-Frame � —� ❑ Balloon ❑ Other(specify) � I For signs not attached to a building, provide location sketch on back of application, APPLICANT ACKNOWLEDGEMENT: • Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate violation; • The City may,without notice, remo e any temporary sign erected in violation of city, state or federal regulation; • The si n s), si n su orts or port le stand must be removed from ublic view at the end of the permit p riod. Applicant Signature: — iL G'YL,Q.�';' Date: l � � For Multi-Tenant Buildings: Property Owner or ,/� � Manager Signature: �� Date: �y' Printed Name of Property Owner or Manager: Phone Number: Email and/or Fax Number: