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Type of Rev*w' Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
)ik sign Permit =
Total value of sign(s) (excluding value of electrical portion & cost of installation): $
Total valuo of electrical portion only (nrust obtain eleculcal permit): $ .5,
❑ Planned Sign. Program
❑: Temporary, Sign Permit: o 15 day o 30 day o 60 day o 90 day Bxpirati6n_ date:
Applicant lnfoi=ation
Properly ownirr% name: -Y
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Phone:
Pro owne,r':`s address:
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Zip:
Business own `er? s name: MCLV!-�
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Phone: 5)00
CABusiness owns wrier" address:>
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Si contractor address: .
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zip:
eontact:is: ❑Fro a owner 1:1 Business owner ❑ Si contractor
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Contact a -mail: = �'" " �`
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Fax:. !:20
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Subject Proven► Information
Business nand: 6� a 5"tN-1 G - te,62 4
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Lacatonlstreot address:ti Zoning district:
Range. of add�cs�es (if PSP):
Legal Description: Lot Block Subdivision
Is there an existing Planned Sign Program for this property? $ Yes D No :7 Not required
Comments:
Temporary ftp p Permit Information (if applicable)
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Size of sign: Height (infeet) Width (infeet}.
Type of sign (e.g. banner, balloon, ``T" frame, sandwich board, inflatable):
Name of pers' n responsible for removal of sign: Phone:
Business owriedauthorized agent's printed name: M Date:
Business owner/authorized agent's signature: fftz Date: 4-14Wh 7
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STS USE �I�tLY, Dat 1r r.le number(s): _ Sign Permit:l�ee:
ping I'vet PP r6val:... Date; 'Z C
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BuilAng Depfi . 4pproval:.Date:
660 E. watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 8886854 • Website: www.meridiancitv.org
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