HomeMy WebLinkAboutVein Center of Idaho 3581 E Overland Rd.0
: Y t Ei IAN Planninb Division
LIIYIITED DURATION SIGN PERMIT APPLICATION
Type of Review Requested
-Limited Duration Sim Permit
i
D 7 day D L by ❑ 30 day D 60 day '90 day - 420 day. Expiration daces •- �� �, � �
Building permitnumber(caZ1887-221]for information) '
.Applicant Information
Property owner's name: Y,r,- Phone: V SL2-?30�
Property owner's address: 416S- 1= s' r.:,./ 72oar/ . .•T`c /jb Ztp: `•�
Business owner's name, L � .' L, -,t Y -,e i° Z, 1147 `y5+'P`L - 4 Y6 i
Business owner's address: I?/ (7���j:</ f7r•r•n!...n 2m:6 .r`.t--'tS+-i l�
Confact e-mail: C/, o /n Ve, n7'' �rrri � fl . r e.w ✓ Fax 0 1r -
Business name: f -/0r ,r Y,2 C&4,,'arct%`[' /Ce t1r., x1rx e,:s Y•'an
Location/streetaddresr r, 00ella-ce k'�>°.A ,Zoning District:
Limited Duration Sign P mit Information (if applicable)
Size of sign: Height (infeer): Width (zn fezt): P Location of sigh:
Type of sign e.g. barn balloon, "T" frame, sandwich board, inflatable):
Name of person responsible for removal of sign:�.;'� - �&rrr,,1ar Phone:i7ZA qWl lyo
Authorization _
Business owner/authorized agent's printed name; ����r J / r 6 G DatP:.� "Z (�- Z� J S
Business owner/aumorized agent's signalise: r'..c'e'r... Date: IV✓?-
33 L Broadwav Avenue, Suite IO2 + Meridian. Idaho 83642
Phone: (208) 834-.5533 • Facsimile: (208) 388-6854 + Website: w meaaiaaciry-ar>
(rv. 0512712013) -
AFFIDAVIT OF LEGAL INTEREST
STATE OF IDAHO
COUNTY OF ADA
I, f Cz� ? 105 E OVCk�AAIQ 61-- U
�t (name) r oA l-1 (J (address)
(city) (state)
being first duly sworn upon, oath., depose and say: � '� �{�
1. That I am th7racoordownerf � property d sccribed on the attached, and I grant my
permission to:
CNFEk oFzy�,5��i r t`ERLAA1 n
(name) (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 t' day ofMA . 20 15
(Signature)
SUBSCRIBED AND SWORN to before me tl da3 nd year first above written.
((gotaryPublic for Idab
�j
DANIELLE SUTTON Residingat: i' el'/°t Ca
Notary Public
State of Idaho L My CornmissionExpires:
33 E. Broadway Avenue, Suite 102 - Meridian, Idaho 83642
Phone: (208) 887-2211 • Facsimile: (208) 887-1297 • Website: w .meridiancity.org
O
7k
z
uj
7
n
m
m
, w
I
�I
o
M
m
M
ISI
CL
_ I
am. rn i n�naeY
N
m
c.
c
T
N
�
E
lu
■
r r p
1
. R, 37:
7k
z
ISI
_ I
m I
m
c.
m
VOW;