HomeMy WebLinkAbout2013-01169 - temp sign � - CITY OF ORONO * 2 0 1 3 - 0 1 1 6 9 *
2750 KELLEY PARKWAY DATE ISSUED: 1 U04/2013
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
NOTE: TEMPORARY SIGN-4 WEEKS FROM 1 U18/13 THROUGH 12/3 U13
APPLICANT SIGN TEMPORARY 35.00
All Bodies Pilaties(flca JulAnn) MISC FEE 105.00
3382 SHORELINE DR
WAYZATA,MN 55391- TOTAL 140.00
OWNER
Narrows LLC
PO BOX 36
NAVARRE,MN 55392-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be perfortned 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 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 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[he State Building Code.This permit may be
revoked at any time for due ause.
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Applicant Permitee ignature Date ss d By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
; City of Orono
Temporary Sign Permit Application
�O ` _ Mailing Address: Permit number: ���j '����
��/ PO Box 66
� � Crystal Bay, MN 55323-0066 Date received: /l–D !–/3
�� Street Address: Received by: ��
y � � 2750 Kelley Parkway Permit Fee: $35.00
`�t L Orono,MN 55356
qk�s H v��
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) „'nn
BUSINESS INFORMAT ON: UI�� �
Name: �(� / �
Address: K�l Ci : ZIP:
Contact Person: v �
Phone: �' � /
Email and/or Fax
APPLICANT(RESPO IBLE PARTY): n �
Name: Ic,�.ey
Mailing Address: Ci : ZIP:
Contact Person:
Phone: �1�Z��-��3�0
SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS):
Name:
Address: Ciry: ZIP:
Contact Person:
Phone:
PROJECT INFORMATION:
Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
❑ Portable Reader board
anner �� `� ���" W 1�� l a' ��
A-Frame � �v�1XtA � ��tx�.� r�Lv1�i� v�t � � v
❑ Balloon 1�t.l' � � 'I –' g �"b ��'�
❑ Other(specify) ��� N �'"K, �'O I Z'�
�� _�n � ����—
� 3Z iZ- Z� � � z -�I
_ ,
For signs not attached to a building, provide location sketch on 6ack 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 erect in violation of city,state or federal regulation;
• The si n s ,si n su orts or o bl ta must be remo ed m ublic view at the end of the ermit eriod.
Applicant Signature: V V Date: j��� /i3
For Multi-Tenant Buildings:
Property Owner or
Manager Signature: Date: �����(�
Printed Name of Property Own r r Manager. Q'J�VI,Pi� ��L,Qi3 !
Phone Number: Email and/or Fax Number: