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� ` City of Orono Temporary Sign Permit Application Mailing Address: Permit number: Ol�—D� j�� PO Box 66 Crystal Bay, MN 55323-0066 Date received: Ol / Street Address: Received by: 2750 Kelley Parkway Permit Fee: $35.00 Orono, MN 55356 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 INFORMATION: Name: � �,,-•.. J+cr �du S'c Address: '3 �y(9 S�.,�,c �,s� b,, City: I,V�VZct � ZIP: f,S'3 9 Contact Persorr. So�� nt� __--__ � Phone: � ; yf� - �-7� - 1705 Email and/or Fax ro�� Mn.lsc CC��-"" — i�~ —�----- —7_� APPLICANT(RESPONSIBLE PARTY): Name: Tp✓ 1��.,�r�c K Mailing Address: Cit : ZIP: Contact Person: � ,J� Phone: SIGN COMPANY/OWNER (IF NOT SAME AS BUSINESS): Name: Address: Cit : ZIP: Contact Person: Phone: PROJECT INFORMATION: Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed: ��Rortable Reader board � �' 7 or g ` q -�-�j-� ❑ Banner ❑ A-Frame ❑ 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 any temporary sign erected in violation of city, state or federal regulation; • The si n s , si n su orts or portable stand must be removed from public view at the end of the ermit period. Applicant Signature: �_��_„�,_� Date: / �� l/ For Multi-Tenant Buildings: Property Owner or Manager Signature: Date: Printed Name of Property Owner or Manager: Phone Number: Email and/or Fax Number: