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Type of Review Requested (check all that apply)
Sign Permit
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Planning Department
SIGN PERMIT APPLICATION
Total value of sign(s) (excluding value of electrical portion & cost of installation): $ po
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:
Applicant Information
Property owner's name: 4C A 1Q%1 .9CCff14 Phone: RtR?~Uft(:7
Property owner's address:
Zip:
Business owner's name: C" A&\f PumOCA, Phone: 9b&"IS910
Business owner's address: 144 V34, MM61-4P4 GLP* Zip:
Sign contractor: a dPhone:
Sign contractor address: X I fA F,,s ft10,r Zip: $371f
Primary contact is: ❑ Property owner ❑ Business owner Sign contractor ❑ Other
Contact e-mail: Fax: 336w-5)&&
Subject Property Information
Business name: CS7 c7►OW-TCR.."
Location/street address: 4114 We Zoning district:
Range of addresses (if PSP):
Legal Description: Lot Block Subdivision
Is there an existing Planned Sign Program for this property? ❑ Yes ❑ No )(Not required
Comments: . / (, rigsg
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet) Width (in feet)
Type of sign (e.g. banner, balloon, "T" frame, sandwich board, inflatable):
Name of person responsible for removal of sign:
Authorization
Business owner/authorized agent's printed name:
Phone:
Date:
Business owner/authorized agent's signature: �1 Date: Cp-�qyo
STAFF USE ONLY: Date filed- File pu�nber(s • 0(0 � 6q#ign Permit Fee:
Planning p. De tapproval: Date:
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Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: Nvww.meridiancity.orp,
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