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� City of Orono����� r7 <br /> � ' 04 �O P o.Box 66 FOR CITY USE ONLY <br /> ° �. 2750 Kelley Parkway <br /> ����n ~ Date Received:� o Permit Fee: �5.�D , <br /> � . �, Crystal Bay,MN 55323 <br /> �<. <br /> ��A��y�� (952)249-4600 �(�,,� <br /> Permit Number: O;�`d� �� /� <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie� <br /> �Ten�Informatian. y ' ���� � � ; �'� <br /> -. <br /> _ � � ,����� r , ,� � �' �.�� <br /> Date of Event: � �� � �L' Size of Tent(s): �� � �� Number of Tent(s): j <br /> Does the tent have sides? No Yes <br /> Please include Fire Retardant Informatio�z from the rental company for tent(s)AND a Sketch <br /> or Drawin�of where t,he tent will be located on the propertv along with this application. <br /> O��ner Infornlation: <br /> ci <br /> Site Address: ��o�� � �-u { �,��"e-e -f <br /> �' lt�� �,t,�aoc�� 6tc��-�_ � <br /> Owner. `T-�� � '� f`�C< <�� �'(��e�c � l Mailing Address: '���`��' �� ��C��Sf ��� <br /> city: -���� ��l�c� ��-� �, zi �� S 3� I <br /> P� <br /> Home Phone: _��J�� �f � � � � y -7 j Alternate Phone: �'�-� � � � �- `� � �— <br /> �ontractor�/Applicant Information: ���,���,��u���,�� � <br /> Contractor/App.:_ J�{� ` �'r<<<� �`t��t� Contact Person: �<< <t j �' 1�cc� � <br /> Address: ��`�,�-[�` �I-i� �_C ����S�-� �jCt=� City: �.7�'��'� �1Cc��c1 Zip: ���� ��t � <br /> Phone: Alternate Phone: =`..x�"��ti�� �F��� << <br /> (' e'�-�- <br /> Fax: �i �Z - �I �1 C� - C° �.��� Email: 1`�'��C C��L�i ►�1 C �� Y�tS r 1 .C C� u v� <br /> I hereby apply for a permit and aclrnowledge that the informarion 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. <br /> ���tCi.�'ti � ��t-�t" ��3 � /�-� l� <br /> Applica s Signature/Date <br /> Permit Approved By: Date Approved: <br /> (Teut P.ertnii 09.jf111Q9J <br />