HomeMy WebLinkAbout2011-00202 - temp sign permit � ~ CITY OF ORONO PERMIT NO.: 2011-00202
� 2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 04/13/2011
` 952 249-4600 FAX: 952 249-4616
ADDRESS : 1955 SHORELINE DR
PIN : 10-117-23-42-0024
LEGAL DESC : ORA PARK ON LAKE MTKA
: LOT 000 BLOCK 000
PERMIT TYPE : S1GN
PROPERTY TYPE : COMMERCIAL- BUSINESS
CONSTRUCTION TYPE : SIGN -TEMPORARY
; NO"t'f` TEMPORARY SIGN-6 X 8 BANNGR
� DA7�ES SIGN W1LL 13E D[SPLAYED: APRIL I5,201 1 THRU MAY 25,201 I
APPLICANT
KIRKLAND, DAVID SIGN TEMPORARY 35.00
1955 SHORELINE DR MISC FEE 105.00
WAYZATA, MN 55391- TOTAL 140.00
OWNER
KIRKLAND, DAVID
1955 SHORELINE DR
WAYZATA, MN 55391-
AGREEMENT AND SWORN STATEMENT
The work for��hich this permit is issued shall be performed according to
the approved plans and specitications,applicablc City approvals,and the
State Quilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specitied herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date ot�issuance,or if construction is
suspended for a period of l80 days at any time afrer work has commeneed.
The applicant is res ible for assuring all requir ispections are
requested in conf m ce ith the State Bui � g C e.This permit may be
�ed at any me or d e cause.
� � l / ` �J/�
A � nt P itee � Date Iss By Signature Date
SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• c,��� ��'�
. City of Orono . . �' �; � � ��
Temporary Sign Permit Application J�� ��
Mailing Address: Permit number:
��,�,j�\ PO Box 66 ����- vU� �
�� ,., � I�
Crystal Bay, MN 55323-0066 Date received: ��l�
���
� ��'���,��;, a,'� Street Address: Received by:
�'� a ' �''" �ti/ 2750 Keliey Parkway Permit Fee: $35.00 _ ��
L�kESH�4'� Orono, MN 55356
If mailing,add .
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print) ���
BUSINESS INFORMATION: /
, ,
Name: S ",�,5 /
Address: r ci 1 lv Cit : �i/p �c, ZIP: s5 g/
Contact Person: � �,
Phone: ( — (�
Email and/or Fax � � {�y� � ,r� O
APPLICANT (RESPONSIBLE PAR Y): '�//
Name: � �6 �lll �'►�CS �
Mailing Address: c Cit : ZIP:
Contact Person: ,i �
Phone:
SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS):
Name:
Address: City: ZIP
Contact Person:
''hone:
PROJECT INFORMATION:
Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
❑ Portable Reader board ��C.,� x��r l�{(, �/l,-�� 5 —�� L�J��
�Banner � �
,
a.,., ,
❑ A-Frame _��J��q;-�-
❑ Balloon
— � - — —
❑ Other(specify)
—. — - -- —
For signs not attached to a building, provide location sketch on back of application.
APPLICANT ACKNOWLEDGEMENT:
• Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate
violation;
• The City may, without notice, remove�a temporary sign erecte � violation of city, state or federal regulation;
• The si n(s , si n su s or ortablt st n must be remov fro ' ublic view at the end of the ermit riod.
c
Applicant Signature: Date:
For Multi-Tenant Buildings:
'roperty Owner or
Manager Signature: Date:
Printed Name of Property Owner or Manage�
Phone Number: Email and/or Fax Number:
City of Orono . ,
�
Temporary Sign Permit Application
For signs not attached to a building, make a sketch showing driveways and sidewalks, edge of road and edge of
parking area. Indicate distance from sign to edge of roadway.
� , . . � .wi�-�.
\(applications)\Temporary Sign Permit Application.doc
3/30/2009 10:27 AM