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Planning Department
SIGN PERMIT APPLICATION
E Sign Permit �
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Total value of sign(s) (excluding value of electrical portion & cost of in.stallation): $ [) 1
Total value of electrical portion only (must obtain electrical permit): $
❑ Planned Sign Program
❑ Temporary Sign Permit: o 15 day o 30 day o 60 day o 90 day Expiration date:
Information
Property owner's name: _
Property owner's address:
Business owner's name:
Business owner's addre:
Sign contractor:
Sign contractor address:
Phone:
Zip: E_t(n`Ir
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Phone:
Zip:
7_4C`����G` Phone:
S co'S-FL Zip: 9�Z
Primary contact is: ❑ r❑ operty owner ❑ Business owner /�aa ��g��n contractor ❑ Other
Contact a -mail: �, �% (��J`�.`jC"CJ � ` a> ,t. Fax:
Subject Property Information
Business name: d \ ( VY \
Location/street address: �� S v U t� i iZoning district:
Range of addresses (if PSP):
Legal Description: Lot Block L> S Subdivision/
Is there an existing Planned Sign Program for this property? U Yes Li No L -'Not required
Comments:
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet) Width (in feet) Sign will be located: U On-site LJ Off-site
Type of sign (e.g. banner, balloon, "T" frame, sandwich board inflatable):---
Name of person responsible for removal of..sign: %? �\ Phone:
Authorization
Business owner/authorized agent's printed name:
Business owner/authorized agent's s3 e: _
Date: (E Ci,
Date: b
STAFF USE ONLY: Date filed: File number(s): — Sign Permit Fee:
Planning Dept. approval: Date:
Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 . Website: www.meridiancity.org
(Rev. 9/21106)
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