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,¢��, City of Orono ' '=:�+�R:.CXTS�:USEiQN : : _ <br /> P.O.Box 66 _ --__ ' - - - _ <br /> O O - - - ':�;�;�'�`�:;"�� - <br /> 2750 Ke[ley Parkway ---- °;`'��:=_f.�. - -- - <br /> ';T�s�e_�CCC�,.,:,:.. :r�:,.:.. '.;�',;_'':.z;�;;;,�;.' <br /> '� �' Crystal Bay,MN 55323 - _-__-- __=_ -_ - _- _- - - - <br /> - �:�=,'r���:��.. . <br /> .:.................. • <br /> •:--...-•:-::�,:,..::::��::�..:�;::?.._:,.:_:., <br /> ....:.......: .......__.......... :.•_ <br /> -:... ., .., <br /> �� Phone;(952)249-4600 Fax:(952)249-4616 ;_Pemu�i�lumbier_'Y�-:::::.:'. <br /> www.ci.orono.mn.us _ _ _- "-- - - _ -__ -- - <br /> �'Peririi�'F,e�t:_.�. - - <br /> . . ._.._.4.�...._..��}=--=j�n --- <br /> -- : - '';�.:'°' � <br /> - - - '-�° � <br /> CTTY OF OR4N0 - TENT PEI2MIT <br /> (Adl tentpermits must be approved by the Fire Chie,fl <br /> �y - _ . <br /> Date of Event: � Q �,U(r 20�I Size of Tent(,�: 2 b ?C 30 � Nwnber of Tent(s):� <br /> Does the tent hava sidas? No Yes �A�e.`f�.o�1,_ '�O � IN t�� g���` � <br /> """""'= i�F 1✓'F—�P�� <br /> Please inciude Fire Retardant Ircformanon from the rental comparay for tent(s)AND a Sketch <br /> or Urawin�of where the tent wiCt be located o�e t&e z�roueriv adong with th�s appdication. <br /> � x <br /> • ' • �: � "' ..• • <br /> , .. . .. . <br /> _ r . _ �..�„... <br /> Site Address: � � � � �0'�—�'�,7�"�� �� <br /> Owner: '��c�"���C� �P�I2.�1.'E VO Mailing Address: ZQ '�'�� l��Ltot,�-�k V" <br /> c�ry: �2,n� zip: � S 39 l . <br /> Home Phone: �52 `��'3 33� 4 Alternate Phone; <br /> - - � - -- �'�,°�{) <br /> Contractor/ pp :_ ��� Contact Person: .Jo� N S'�'o� <br /> Address: Z� 5� �r7�o�ti pR• City: o{tc,t�(7 Zip:55 39 1 <br /> Phone: �(!� 9� � '`�� �S Alternate Phone: <br /> Fax: 9 SZ �1 � 2.��'�' Email: <br /> I hereby apply for a permit end acknowledge that the infocmation above is c:omplete and accqrate; that the work will be in <br /> conformence with the ordinances of the City of Orono and the Minnesotu Fire Codes;and I understand this is only an application for a <br /> permit and work is nat to start without a penniC. <br /> 19Juu tJ <br /> Applicants nature/Date <br /> �v / <br /> rmit Approved By; Date Approved: <br /> � � <br />