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Type of Review Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
9 -Sign Permit
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Total value of sign(s) (excluding value of electrical portion & cost of installation) : $�,
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 dayxpiraton date. :..... :.....
Applicant Information
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Property owner's name: T:_06 ' ytl k "- Phone:
Property owner's address: Zip: "3b Y7
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Business owner's name: Phone:
Business owner's address: Zip:
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Sign contractor: F TNI Phone: 311-i ..W_
Sign contractor address:.— zip:
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Primary contact is: ❑ Property owner ❑ Business owner [Sign contractor ❑ Other
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Contact e-mail: r'' o, . Fax:
Subject Property Information
Business name: S
Location/street address:
Range of addresses (if PSP):
Legal Description: Lot
Block Subdivision
Zoninaistrict:
Is there an existing Planned Sign Program for this property?,KYes ❑ No ❑ Not required
Comments:
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: A///
Business owner/authorized agent's signature: **_��Z
Phone:
Date: 49:�'
Date: c / S d
STAFF USE ONLY.: Date filed
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File:ri er(s)• :Sign Perm Fee
P1ann�n De t, a roval : Dater
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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: www.meridiancity.or�
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