HomeMy WebLinkAboutA-2015-0028-#1 Nails - BP-2005-33119 �GEIVE
SEP 3 0 2015
BY:
Planum; Division
LNIITED DURATION SIGN PERMIT AnPLIC -EON
Type of ReviewRegnested '
Limited Duration Sim Permit
❑ 7 day ❑ L5 day ❑ 30 day q 60 day C 90 day fil 120 day. Eap ratio�z
pt
- Building permnumber (ca11587-2211 for 3rformanon) �P- M 9 - S
.-Applicant Information
31 , fat
Property owner' sname: C� E --cvfyjClAL- LLC_ . n Phone:.,�2'�7� 7� 7.-3
Property owner's address: ' z L,, � til � ,2 t -L , e Av—E Zip: Y3 ?y
Business owner's. name: Phone:
Business owner's address: ..'rUS -RlAi.lVicw iic ('C-. I L.) ,Zip: &3oA-2-
Contact e-mail Fax
Limited Duration
Size of sim: Height (in feet): -- 4- VY idth (m feet): Location of si r:
Type of sign (e g. banner, balloon, 47 frame, sandwich board, i0atable):
Name ofpmm responsible far r moval of sib: e2tIC. �ib ) i
Authorization
Business owuWauthorized. agent's printed name:
Business owner,!aishorizedents si . f
ae'��
Date:_ p c�j �G'�' ���✓P
Date:_
33. E. Broadway Avenue, Suite 102 • Meridian, Idaho 83642
Phone: (208) 8845533 • Facsimile: (208) 885-5854 • Wlebsite; wsuw.mericianciry.or
(Rev. 03/27/2013)
AFMAAVITOFF, ALL'V'I'EREST
STATF OFMAHO )
COUNTY OF ADA )
lnvm�5 M tj.
(name)�address)
(cv) (state)
being first duty sworn upon, oath, depose and say:
I. That I sm the record owner of the property described on the attached, and I grant my
permission to:
(name) - (address)
to submit the accompanying applications) 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. ofthe application.
3. I hereby grant permission to City of Ueridian staff to enter the subject property for the
purpose of site inspectionsrelated to processing said c 'on(s).
(
Dated this � day of 20
SUBSCRMED AND SWORN to before me the day and year
m � /J(Nora yNblic for Idaho)
=6TATV0F
' -
E Resid ng at, />1 lU
�T 3� a,t
My Commission Expires: -
33 E. Broadway A ie ue, Suite 102 + Mcfidiac: Idaho 83643 -
:hone: (308)8x'4-5333 e Fac sjsdle: (208)888-5854 . Webster .vnr.secidizec'ty.oro
AMP
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