HomeMy WebLinkAbout2015-00308 - temp sign � - � CITY OF ORONO * 2 0 1 5 - 0 0 3 0 8 *
2750 KELLEY PARKWAY DATE ISSUED: 04/07/2015
ORONO, MN 55356-
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 10 BANNER ON TENT SIDES FROM JUNE 19TH THROUGH JULY STH,2015
APPLICANT SIGN TEMPORARY 35.00
MISC FEE 0.00
RENAISSANCE FIREWORKS,INC TOTAL 35.00
1625 COUNTY HWl' 10 Payment(s)
SPRING LAKE PARK,MN 55432- CHECK 6195 35.00
(612)840-3240
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 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 wi[h whether or not specified herein.This permit will
expire and become null and void if consVuction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
(,j/u.a.(%�-e�J l ! / lJ
Applicant Permitee Signature ' Date Issue Signature Date
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City of Orono
Temporary Sign Permit Application�/10�� � ���s
�O� Mailing Address: Permit number: -��
O PO Box 66
Crystal Bay,MN 55323-0066 Date received: .�'/7�5
Sheef Addness: Received by:
y�, `� 2750 Kelley Parkway PeRnit Fee: $35.00 Z -. P 1Q �
t Orono, MN 55356
'KESHO�� If mailing,add$2.00
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 INFORMAT ON:
Name: S -e ✓ _ -
Address: „� /p �,��,t� Ci : ,- l ,� ZIP: 2
Contact Person: "�, r
Phone: l�iZ - � 7!� 3
Email and/or Fax ma y,�� �-��/tr'�c�2u -sl'ir�u�r.r.,E' ��rr
APPLICANT(RESPONSIBLE PARTI�:
Name: /}��y,(� �/2�r��i t
Mailing Address: j(�07 /D�v�y a.�.0 � Ci : /�o/s ZIP: ,SSy/�
Contact Person:
Phone: li/7- ��10 �,�� �D
SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS):
Name:
Address: City: ZIP:
Contact Person:
Phone:
PROJECT INFORMATION:
Type of Sign: Size of Sign: Location of Slgn: Dates Sign to be Displayed:
❑ Portable Reader board
[�Banner ,3 X /U L�/h �� il�,yS (/dllZc /9�_
❑ A-Frame b�u�u ,�
❑ Balloon �Q-Iq �'O (D•Zq
❑ Other(specify) �/.Lq ro � • q
For signs not attached to a building,provide/ocation sketch on back of application.
APPLICANT ACKNOWLEDGEMENT:
• �olation of Ciry Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate
violation;
• The City may,without notice,remove any temporary sign erected in violation of city,state or federal regulation;
• The si n s ,si n su orts or ortable s ust be remov from ublic view at the end of the ermit riod.
Applicant Signature: �------- Date: .3'�2'/5
For Multf-Tenarn Buildings:
Property Owner or
Manager Signature: Date:
Printed Name of Property Owner or Manager:
Phone Number: Email and/or Fax Number:
\ . _ V
♦ � t
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.
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\(applications)\Temporary Sign Permit Application.doc
4/1/2013 2:16 PM