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� City of Orono <br /> t Temporary Sign Permit Application <br /> ��A, Mailing Address: ���_�/�q� <br /> f yO PO Box 66 Permit number: � <br /> Crystal Bay, MN 55323-0066 � Date received: —�� <br /> ` Street Address: �� Received by: <br /> G1/V� <br /> y�, G� �`� 2750 Kelley Parkway �� Permit Fee: $35.00 <br /> tyxFSHfl��` Orono,MN 55356 <br /> If mailing,add$2.00 <br /> Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us <br /> This application form must be completed in full and all required information must be submitted. <br /> Incomplete applications will be returned. (Please print) <br /> SIGN LOCATION ADDRESS: 7 �0 S� ��P_/��y �A�/� 1.•�� <br /> BUSINESS INFORMATION: <br /> Name: � D 7'1/C� � �� <br /> Address: �i ,,� Cit : �9 Z�p: <br /> Contact Person: �_ .e r <br /> Phone: ,Z — — <br /> Email and/or Fax <br /> APPLICANT(RESPONSIBLf PARTY : �3+ �� ��b <br /> Name: D�01U[� � �� <br /> Mailing Address: Cit : ZIP: <br /> Contact Person: p <br /> Phone: p - 7 <br /> SIGN COMPANY 1 OWNE (IF NOT SAME S BUSINESS): <br /> Name: ��'i�,�,�►�..� S,` s <br /> Address Cit : ,, Z�p. <br /> Contact Person: n �,,� <br /> Phone: '7 ,.�— '?�_b - L �,►!�" <br /> PROJECT INFORMATION: <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> �Portable Readerboard �)(.b S� Sit�� ` 'h� ��,3 — �l—l��__ <br /> / <br /> ❑ Banner <br /> ❑ A-Frame <br /> ❑ Balloon <br /> ❑ Other(specity) <br /> For signs not attached to a building, provide/ocation sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of Ciry Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate <br /> violation; <br /> • The City may,without notice,remove any temporary sign erected in violation of city,state or federal regulation; <br /> • The si n s ,si n su orts or rtable stand must be remove m ublic view at the end of the ermit eriod. <br /> Applicant Signature: � Date: �,,-1b <br /> For Multi-Tenant Buildings: <br /> Property Owner or Manager Signature: - "- Date: �/�� _�� <br /> Printed Name of Property Owner or Manager: VS <br /> Phone Number: �{ Email re . �i cA � v o,r.o�,s�r��-aQ ca.r • �om <br /> w:1(applications,license or permit applications)lsign permit-tempo v1.doc <br /> Updated: 03/25/2015 <br />