HomeMy WebLinkAbout2012-01172 - temp sign CITY OF ORONO * 2 0 1 z - B 1 1 7 2 *
' 2750 KELLEY PARKWAY DATE ISSUED: 1U19/2012
' ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3382 SHORELINE DR
PIN : 17-117-23-44-0100
LEGAL DESC : TOWNSITE OF LANGDON PARK
: LOT 005 BLOCK 003
PERMIT TYPE : SIGN
PROPERTY TYPE : COMMERCIAL- BUSINESS
CONSTRUCTION TYPE : SIGN -TEMPORARY
NO'iE: 4 X 8 SIGN ON PRONT OF I3US[NF;SS 12-04-12 TO 12-14-12
APPLICANT SIGN TEMPORARY 35.00
All Bodies Pilaties(flca JulAnn) TOTAL 35.00
3382 SHORELINE DR
WAYZATA, MN 55391-
OWNER
Narrows LLC
PO BOX 36
NAVARRE, MN 55392-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according ro
the approved plans and specitications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or rela[ed work which requires separate
permits. All provisions of laws and ordinances governing 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 construction is
suspended for a period of 180 days at any time atter work has commenced.
The applicant is responsible for assuring all required inspections are
requested� conf nce h the State B 'ding Code.This permit may be
rcvo e t any e f r aus . ��J
� /_!� ��
/ � ��--�� c'Y7'X'c� � / �'--
Ap ,ican Permitee Signature ate Issued By Signature Date
SEPARATE PERMITS REQUIR D FOR WORK OTHER THAN DESCRIBED ABOVE.
City o� Oror�o
�._
- j Temporary Sign Permit Application
Mailing Address: ,�L;j � — ,
�0�' PO Box 66 Permit number. � ��� �--
��� ��' C stal Ba MN 55323-0066 Date received: � � � �`� �- I Z
� s:, �\\ �Y Y�
�� � Received b R 1�
�� ,�����_;y ���� Street Address: Y�
���� ��% 2750 Kelley Parkway Permit Fee: $35.00
\�t k,Es�g,~�Gi,/ 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 INFORM I � ,
Name: , , � _
Address: City: � ZIP: ~ �
Contact Person: „
Phone: �
Email and/or Fax �
APPLICANT (RESPO SIBL PARTY)•
Name: (l� M
Mailing Address: Cit : ZIP:
Contact Person:
Phone:
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 Sign: Dates Sign to be Displayed:
❑ Portable Reader board
anner �� I� � ll �
❑ A-Frame
� S -��--��-�'„��-�
❑ Balloon `2•4•� Z "t'�
❑ Other(specify) I �Z' `'T' �2...
I
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 viol ' n of city, state or federal regulation;
• The si n(s), si n sup orts or p rta e st nd must be removed fro pub c iew at the end of the perrr�it eriod.
Applicant Signature: Date: r �`� —�
For Multi-Tenant Buildings:
Property Owner or �/, �i . y
Manager Signature: �- � Date: � /
�
Printed Name of Property Owner or Manager. �, �� � �������
Phone Number.� � � �v / � �� Email and/or Fax Number:
City of Orono
Temporary Sign Permit Application � .
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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
3/31/2009 11:28 AM