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� �O A TO City of Orono FOR CITY USE O LY <br /> i V P.O. Box 66 �r <br /> 2750 Kelley Parkway Date Received: D � � <br /> Crystal Bay,MN 55323 �� <br /> � � Phone: (952)249-4600 Fax:(952)249-4616 Permit Number ,�.� �� """��� <br /> ti � www.ci.orono.mn.us <br /> �'t � Permit Fee:� �25.00 �� C, <br /> '�KESH��� � <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approved by the Fire Chie� <br /> Tent Information: <br /> Date of Event: � ���S � 1'� Size of Tent(s): �'' '� �� Number of Tent(s): � <br /> Does the tent have sides? No Yes ���c..-��...� 3 e�t-t ��' ►r�c�N;�-S > <br /> Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch <br /> or DrawinQ of where the tent will be located on the propertv along with this application. <br /> Owner Information: <br /> Site Address: �-7 5� C�o�.�+�r�s�d--� n�: �� wet}- <br /> Owner: K'�f�+• �`�'�k��'� Mailing Address: 1-?S r' (',...w,,t,,, .� ��'• w• <br /> �� . <br /> City: �+r��� Zip: 5S3S(. <br /> Home Phone: � ��- `�S� - o Z v3 Alternate Phone: �'��- 'Z>r�"' � � � L <br /> Contractor/Applicant Information: <br /> Contractor/App.: l�S�''`'�'`� Contact Person: <br /> Address: City: Zip: <br /> Phone: Alternate Phone: <br /> Fax: 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 Minne ire Codes;and I understand this is only an application for a <br /> permit and work is not to start without a permit. � <br /> / <br /> Applicants Signature/Date <br /> Permit Approved By: Date Approved: <br /> (Tent:Permit�OS/04l1 I) <br />