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, �O A} City of Orono RECEIVED FOR CTTY'USE ONLY <br /> � i VO P.O.Box 66 „ �7 <br /> 2750 Kelley Pazkway Date Received: ��"�! ( <br /> Crystal Bay,MN 55323 MAft 0 9 2011 <br /> � Phone:(952)249-4600 Fa�c:(952)249-4616 Permit Num ber D I�' 0� <br /> y�, '� www.ci.orono.mn.us <br /> L` CITY OF ORONO Permit Fee: $25.00 ��� <br /> ��'�fiSH��� <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie� <br /> d a � ,, , r � <br /> � �_. , ., �.� ;� � <br /> � � <br /> ��;� � ,�, �,�;, �,. �=� `� <br /> Date of Event: �j��3� � 1 Size of Tent(s): � Number of Tent(s): � <br /> T <br /> Does the tent have sides? No Yes <br /> Please include Fire Retardant Infvrmation from the rentrzl company for�ent(s}AN�a�'ketch <br /> or Drawing of where the tent wilZ be located-o�ra:tlae�rc�uer�v aivng with this applfcation: <br /> ; <br /> �.�.�: , � � , ��- �� � �� � <br /> � ;�:�_, m��- �a � <br /> site Address: �LZS �JO�(1 YlS �C�i V�- �C� . W0�12GL� �'� 5�3�1 � <br /> - , <br /> Owner: � l ���� Mailing Address: Sa`�� <br /> City: Zip: <br /> Home Phone: (OSv��-� U" 3�� Alternate Phone: <br /> CJzA-R- <br /> t � '��� �� � �� <br /> r � �. � � � <br /> ����,.�� �:� ,,�,�,�: ;i�, ,��� a: <br /> Contractor/App.: ��- �ttu C� � � Contact Person: <br /> Address: City: Zip: <br /> Phone: Alternate Phone: <br /> Faac: EmaiL• <br /> I hereby apply for a permit and acknowledge that the information above is complete and accurate; that the work will be in <br /> conformance with the ordinances of the City of Orono and the Minnesota Fire Codes;and I understand this is only an application for a <br /> permit and work is not to start without a permit. r � / � � I� <br /> \ <br /> Applicants Signature/Date <br /> Permit Approved By: Date Approved: <br /> � <br />