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HomeMy WebLinkAbout2010-00394 - temp sign - � CITY OF ORONO PERMIT NO.: 2010-00394 � 2750 KELLEY PARKWAY c ORONO,MN 55356— DATE ISSUED: OS/27/2010 952 249-4600 FAX: 952 249-4616 ADDRESS : 3423 SHORELINE DR PIN : 20-117-23-12-0034 LEGAL DESC : REG.LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : SIGN PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : SIGN-TEMPORARY NOTE: 3'X 20'BANNER ON SIDE OF TENT FOR FIREWORKS SALE APPLICANT SIGN TEMPORARY 35.00 FIREWORKS,FREEDOM,AND FUN MAIL-IN FEE 2.00 3806 GABLES COURT TOTAL 37.00 EAU CLAIRE,WI 54701- (763)213-4499 OWNER Brook Investment Group LLC 34321 MYRTLE LA LJNION CITY,CA 94587- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if consVuction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with�he State Building Code.This permit may be revoked at any time fo'due cause. �1�� � � � �Go�.� i i Applicant Permitee Signature Date Issued By ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. w ��•• City of �rono . Temporary Sign Permit Application Mailing Address: permit number. 020��—OB3q Og,�,�.0 PO Box 66 Crystal Bay,MN 5532�006G Date received: J�-27-�D � =`�. F Street Add►ess: Received by: N S �,, 2750 Kelley Parkway Permit Fee: �.� r•qg�Ho�,'� Orono,MN 55356 If mailing,add$2.00 Main: 952-249-r4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required infannafion must be submitted. Incomplete applications will be retumed. (P/ease print) BUSINESS INFORMATION: Name: Fireworks, Freedom, and Fun 3�Z3 �'�'t,Gr`e�Li�.e. ��" Address: 3806 Gables Court, Eau Claire, WI 54701 Contact Person: Quentin Nelson Phone: 763-442-7676 Email and/or Fax quentnelson(c�Qmail.com APPLICANT(RESPONSIBLE PARTY): Name: Quentin Nelson Mailing Address: 3806 Gables Court, Eau Claire, WI 54701 Contact Person: Quentin Nelson Phone: 763-442-7676 SIGN COMPANY 1 OWNER(IF NOT SAME AS BUSINESS�: Name: same Address: City: ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: �ocation of Sign: Dates Sign to be Displayed: ❑ Portable Reader board 3'x 20' X❑ Banner Side of tent 6-25 thru 7�'i.2009 ❑ A-Frame ❑ Balloon ❑ Other(sPecifY) For signs not attached to a building,provide/ocation sketch on back of application. APPLICANT ACKNOWLEDGEMENT: • Violation of City Ordinances is a misdemeanor. Each day the violation confinues in existence shall be deemed a separate violation; � • The City may,without notice, remo e an tem a sign erected in violation of aty,state or federal r�egulation; • The si n s ,s n su rts or � le s d m st re oved from ublic view at the end of the rmit riod. Applicant Signature: 1 ��' � 'i Date: �-2�j��� For Multi-Tenant Buildings: Property Owner or I ` ManagerSignature: �; L�OS�C� ICQSC'1 Date: �{-�Z-(U Printed Name of Property Owner or Manager: �OD��n�l�S�inPi�-l l?i'��D � ��Q YI �'�'(,�b�� L> l� .� � S �2.7�1 C� S ��� S�z e ��s p,4sl- c�e�S Phone Number. Emaii 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 pa�lcing area. Indicate distance from sign to edge of roadway.