HomeMy WebLinkAboutHigh Desert Harley-Davidson 2310 E CinemaCiWE IDIAN
of Review
Limited Duration Sign Permit:
Planning Division
LIMITED DURATION SIGN PERMIT APPLICATION
❑ 7 day ❑ 15 day D 30 day ❑ 60 day r0 day ❑ 120 day. Expiration
Building permit number (call 887-2211 for information)
Applicant Information
Property owner's name: �4&tY Phone:3 - Y
Property owner's address: 23 I C� if Q.U. Zip: (f --&V
Business owner's name:.__ Phone:
Business owner's address: IInn�Zip:
Contact e-mail�YV �^
Fax: 2,0t-
ect Pronertv Information
Business name: S
Locationistreet address:
Limited Duration Sign Permit Information I
Zoning
Size of sign: Height (in feet):_�Width (infeet):) Location of sign: 71b�\ t -
Type of sign (e.g. banner, balloon, "T" frame, sandwich be d, ' stable): -M �P
Name of person responsible for removal of sign: CZ Phone: -
Authorization 1 �7
Business owner(authorized agent's printed uame: J 7 Date: L
Business owner/authorized agent's signa Date: t 71
STAFF USE ONLY: Date filed: File number(s). Sign Permit flee
Planning Dept. approval:..., Dare*
33 E. Broadway Avenue, Suite 102 e Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.mendiancity.org
(Rev. 0312712013)
AFFIDAVIT OF LEGAL INTEREST
FOR LIMITED DURATION SIGN PERMIT
STATE OF IDAHO)
COUNTY OF ADA)
r, lia�kll� J7 01.9�N , 23t 0 CW ft4.,4- t F
R&k`�n� eJ ��dre
(city))ss)
(state)
being first duly sworn upon, oath, depose and say:
1. That I am the record owner of the property described on the attached, and I grant my permission
to:
(name) (address)
to submit the accompanying application(s) pertaining to that property.
2. The property owner agrees that consent will be valid until withdrawn or until the property
changes in ownership.
3. 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.
4. 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 ` day of
20 6'
v (Signature)
JA 6)kORN to before me the day and year first above written.
K. •.
NOTARY
�.� (Notary Public(f r Idaho)
, UBLIC' p ' Residing at: M e�► C� i t cTD
N _ t: '
TF OF My Commission Expires:
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6678 • Website: www.meridiancity.org