Laserfiche WebLink
�U�V � P.O.Box 66 l v�•�l� � v�L vl•u• <br /> %�� ���� 2750 Kelley Parkway Date Received: <br /> f Crystal Bay,MN 55323 p �+ <br /> �, � Phone:(952)249-4600 Fax:(952)249�4�6+E�VE� PermitNumber <br /> ti�, � ������.ci.orono.mn.u, <br /> �"�KESF�o���� MAY � 4 ���� Permit Fee: $25.00 <br /> CITY OF Of20N0 <br /> CITY OF ORONO - TENT PERMIT <br /> (All tent permits must be approvec�by the Fire Chie� <br /> Tent Information: <br /> � <br /> Date of Event:� � ' � ��' Size of Tent(s): �� ��- �j � Number of Tent(s): � <br /> Does the tent have sides? No '�Yes`� � �, <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 property along with this application. <br /> Owner Information: <br /> � � <br /> Site Address: �� �--�-� ��%' �����c �� u <br /> Owner: -.-J ��C � � ���Tn��� '�t�a lingrAddress: -���`��' <br /> �� ti, . <br /> City: t ��� y�7���'"�%'� ,� /',�'1 ,.� Zip: �� "� C( ( <br /> Home Phone: � � �- ` `I 7 � � �Z-�,5 Alternate Phone: ��`J �-- � �2-� " ?G�`� <br /> Contractor/Applicant Information: <br /> Contractor/App.: :`-f � Contact Person: �..� �Z �G+��G�n'I�G� �� <br /> Address: S c� �D � �-��(,�r� ���✓: City: �l L�q r �b� �Q Zip: �� �` Y-3 <br /> Phone: ��� "��1�a-3 �� �-y l� Alternate Phone: �_� >�o <br /> Fax: ` a <br /> �2- ` I / Z `" .5/ �� Email: � t,�3 ar�,af r�r,�c�I—�c.,p�.�� � � <br /> �'-' '�— e�7 <br /> 1 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. <br /> � � � <br /> Ap ' ants Signature/Date <br /> Permit Approved By: Date Approved: <br /> (T�t Pemtit OS/04/l 1) <br />