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i� I <br /> �1� �'g�°�n° RECEIVEQ �crty�s�oivc,�r <br /> � 2750 Kellry Padcway �hto Recei�ad: ��"1 ( <br /> ���..l�V 53323 n� c 8 20�� <br /> � �„ I'hone:(9 5 2)2 4 9�4 6 0 0 Fax:{9 5 2)2 4 9-4 6 1 b �a m i t N t mm l� � <br /> G� www.ci.orono.mn.us <br /> `�� 4 CITY OF OROhtO Pea�mit Fea: S2s•e0 �' � <br /> KFSKo �' <br /> CITY OF ORONO - TENT PERMIT <br /> (Adl tent permits must be approved by the Fire Chie,� <br /> 'T'�it��Ia�dfitiatt�: • • _ - . � <br /> Date of Event:� Size af Tent(s): � Number of Tent(s):� <br /> Does the t�ent have sides? No Yes <br /> Pleacre t�clude FYrt Retardara�t.licf�r�fram the r`errt"al compmryfur terlt(s).l1VD a ,� ;c <br /> or Drew�t�of x�lbere du tr,�t w�ll be�cs�ed ea t/ie�rro�ulong wfth th�is.applfccrtton. <br /> tjwnet.:�iifomiatiQa: ,�. - i <br /> Site Address: __�(Q�� �70h ifLS �C71 Y�' �CaQ{Q (�j�..{2A�"Gl. �'� S��J�1 1 ! <br /> r <br /> Ownes: �� �.c-�`�-2.� Mailing Address: S��'V�k� � <br /> City: 7�p. � <br /> Hozne Phone: �S�`Z..��'3�� Altemate Phone: ' � <br /> C��- � <br /> � <br /> '�n#tactvr!ApplicBnt Infairma�ioa: - <br /> � <br /> Contractor/App.: �1�-� Gl�fA L� � ' Contact Person: ' <br /> Address: City: Zip: R <br /> Phone: Ahernate Phone: <br /> � <br /> Fax: g,�2; <br /> ;I <br /> I �Y AP?�Y�a P�md ari�owled�e ttiat the ioformatian abovo is complete and accw'ste;that the wa�ic wtli he In ! <br /> confonnance with the ord3asnces of tt�e City of Orn�aad the Mronesota Fire CodGs;and I�md�sisnd this is anly an�pplication fora <br /> pcfmh aud work is not to st�trt without a ptrmit _\ � • � <br /> ���y <br /> Ap Hcsals Sign�tare/Dabe � <br /> � <br /> c/' � <br /> � AFFrnved Hy: Dxte App a!: � <br /> ; <br /> � <br /> �«���J E: <br /> � <br /> t <br />