HomeMy WebLinkAboutSLYCE 916 N MainECEIVE
JUN 2 2 2015
fE'IDIANt
Planning Division
LIMITED DURATION SIGN PERMIT APPLICATION
Type of Review Requested
Limited Duration Sign Permit:
❑ 7 day ❑ 15 day ❑ 30 day *60 day *Oday ❑ l20 day. Expiration date:
Building permit number (call 887-1271 for information) —
Property owner's name; E 1ZAG AI&M V4 U LLC Phone: X369 - If �
Property owner's address: 6 & Pf 1 zo-� e!' W k,�_ F x! t(� Zip: 93(0/6
Business owner's name: _ _ G YLt L jT-. Phone:
Business owner's address: Gjm N • 114 AJ S'j - aA 9/47J Zip:
Contact e-mail: C1 LLgW6a4 N (V_A0 44 0 I. -S r �rj&IJ, C6M Fax:
Subject Property Inffo<ormati`,on
Business name: J L. 7
Location/street address: Q • (14AIP 5r. Zoning District: ()
Comments: Te -n Ie�`l" U -- ()ms L_s r f N, s I N 514Z{002
Limited Duration Sign Permit Information (if applicable)
Size of sign: Height (in feet): 3 Width (in feet):_ Location of sign: d VC ci
Type of sign (e.g. banner, balloon, "T" frame, sandwich board, iinflatabble): '� igtk NAL
Name of person responsible for removal of sign:�(,� Phone: Fro - wI 9
Authorization n y
Business owner/authorized agent's printed name: Date: 6/010
Business owner/authorized agent's signature: Date:
I
STAF3_ Citi S ..i�ne:n"lea _ File mmnber(s). Sia errniL Fee:
Plmnin7 `lept..aom.-v ai- Date -
33 E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208)884-553'a • Facsimile: (208) 888-6854 • Website: www.meridiancity.org
(Rev. 03/27/2013)
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO
COUNTY OF ADA
I, Er -IL .9 IV107`— 916 X /041)1 - tf 2e��
(name) (address)
N��r'zC(1 arl �'cia {w
(city) (state)
being first duly swom upon, oath, depose and say:
That I am the record owner of the property described on the attached, and I grant my
permission to:
Golden ljg's't _1114.E. 13&,5&1D Sim/
(address)
to submit the accompanying application(s) pertaining to that property.
2. t a. -Tee 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. 1 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 7'�t r -ti 2A_/ 5'
SUBSCRIBED AND SWORN to before me the day and year first abolfe written.
otary Public for Idaho)
NNCHAEL L. SAIlTEBIN
Notary public Residing
Slate of Idaho �7
My Commission Expires: Fri."a' Li
33 E. Broadway Avenue, Suite 210 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: ewwv:meridiancity.org
(Rev. 02/11/2010)
0
VJ
4 JI
1R� I�if�• a• .
-9 MOM
SW _ ;A' 1 (D
� AM , 9
A 42
3�
t¢7
if'sI \