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� - - City of Orono <br />• Temporary Sign Permit Application <br /> O Mailing Address: p <br /> PO Box 66 Permit number: � �3 -��� � <br /> � �� Crystal Bay, MN 55323-0066 Date received: ��" ��-�3 <br /> Street Address: Received by: ��� <br /> y � 2750 Kelley Parkway Permit Fee: $35.00 . <br /> F L <br /> ��kesHo��" 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 /> BUSINESS INFORMATION: 1 �' C!�I� <br /> Name: U � a N u �� n.�.�. I <br /> Address: !e Cit : t�I'V ZIP: 3.i <br /> Contact Person: �r r 1 ��� <br /> Phone: $2 — - ' � <br /> Email and/or Fax <br /> APPLICANT (RESPONSIBLE PARTY): <br /> Name: s•�+G✓,e �rn Q� �:� <br /> Mailing Address: 3� Td;,,�,�; �., „ , s?c Z 8 �%' City: �t ��� ZIP: �$�S ' D <br /> Contact Pers n: <br /> Phone: �� 1 - 3 � - � &��1 � <br /> SIGN COMPANY/OWNER (IF �VOT SAME AS BUSINESS): <br /> Name: _ 1�� �� c r n-L w rt t � <br /> Address: N,� Cit : ��� r ZIP: U <br /> Contact Person: �'�. S o>'1 <br /> Phone: `7(�. - d •- SL y S' _,,,� <br /> PROJECT INFORMATION: � h � R1��-'`�'z.J <br /> Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: <br /> ortable Reader board ! � � � � �Q a�L� ���� /�`"� �G tJ j� " " '3 <br /> ❑ Banner 'I `r� ��� <br /> ❑ A-Frame <br /> ❑ Balloon <br /> ❑ Other(specify) <br /> For signs nof attached to a building, provide locafion sketch on back of application. <br /> APPLICANT ACKNOWLEDGEMENT: <br /> • Violation of City 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 o ble stan must e moved from ublic view at the end of the ermit eriod. <br /> Applicant Signature: � - Date: /0 "� �d �� <br /> � <br /> For Multi-Tenant Buildings: <br /> Property Owner or <br /> Manager Signature: � Date: ��"- Z�'�r,� <br /> Printed Name of Property Own r r Manage : P[ ar -l/' <br /> Phone Number: Email and/or Fax Number: <br />