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HomeMy WebLinkAboutCheck and Go LD-15-041Apr, 16, 2015 2:'5P iM ( ECEIVE No. 2001 P, 212 11AY 0 6 2015 'fE IDI S -A Planning Division by:----J-,m, T�ATION SIGN PERNUT APPLICATION Type of Review Requested Limited Duration Sign Permit: 0 7 day © 15 day X30 day IB 60 day 1190 day ❑ 120 day. Expiration date: 14 Building permit number (call 887-7211 for information) Information Property owner's name: Property owner's addre: Phone: Business owner's name:[hit �, A (70 Phone: 0 • 3cIi Business owner's address: U S Lt id w , d _ � 3S is0_ ( NZip: p l , Contact e-mail: Fax:W-6- -6' Y?,I o Subiect Property information Business name: Location/street address:t{SD S /'�e IrRa —W Zoning District Comments: Limited Duration Sian Permit Information Size of sign: Height (infeel):__W) Width (in fee;):A_>,_ Location of sign: Type of sign (e.g. banner, balloon --r, frame, sandwich board inflatable): o j Name of person responsible for removal of sign: AI (I Aqlu Business owneriauthorized agent's printed rra Business owner/authorized agent's signature: 33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 8:-4642 Phone: (208) 884-5533 • Facsimile: (208) 888-6854 a Website: www.IDeridiencity.arg (Rev. 0 312 712 0 1 3) AFFIDAVIT OF LEGAL INTEREST STATE OF IDAHO ) COUNTY OF ADA ) I uilaw tf r{ �. GCL Vr4 Z.tb 5 5tx V. being first duly swom upon, oath, depose and say: 1. That I am the record owner of the property described on the attached, and T grant my permission to: A: 5, /✓jer) (address) to submit the accompanying application(s) pertaining to that property. 2. I agree to indemnify, defend and hold the City of Meridian and its employees harmless from any claim or liability resulting from any dispute as to the statements contained herein or as to the ownership of the property which is the subject of the application. 3.. I hereby grant permission to City of Meridian staff to enter the subject property for the Purpose of site inspections related to processing said application(s). Dated this —2 -9 ---"'day bf 20/5 r�) SUB SCRIBED AND SWORN to before me the day and year first above written. 4 (otary Pubho for Idaho) �.. _ Residing at AGI V1 U uPOR}t O My Commission Expires: Z� 33 E. Eroadway Avenue, Suite 102 • Meridian, Idaho 83642 Phone: (208) 887-2211 . Facsimile- (208) 887.1297 • Website: w .meridimcity.org E Gem St 1 4 r r O UL% R5@70130010 SIASUBS o o e T� 0 SUR .i o is Suite S5 55 w 0 4y Suite 105 Suhfb 0 to