HomeMy WebLinkAbout2011-00986-VOIDED �
` 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�~ —�-----
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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:
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• 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.
\(applications)\Temporary Sign Permit Application.doc
3/30/2009 10:59 AM