HomeMy WebLinkAboutsp-07-045 Evergreen ChiropracticType of Review Requested (check all that apply)
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Planning Department
SIGN PERMIT APPLICATION
C_Sign Permit
Total value of sign(s) (excludin value of electrical portion & cost of installation):
f
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
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Property owners name: _ In [ , Phone: b-,6 3G
Property owner's address: �' 4��d-I 1 L �• `Zip:`3
Business owner's name:�ft t- Phone: s
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Business owner's address:16qn Gtr C rr �? • U 1`� ►'� Zip: �6 1
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Sign contractor: , �= � -03 Phone:
Sign contractor address:
Zip:
Primary contact is: ❑ Property owner ,Business owner ❑ Sign contractor ❑ Other
Contact e-mail: 7,,DA D -c- S A C 0 W-1- Fax:
Subject Property Information
Business name: r - 1 0-
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Location/street address: �� ✓' O 1`'�- Zoning district: 0
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:
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet) Width (in feet)_ 001, 1 -0 -QC Sign will be located:)COn-site Off-site
anner, balloon ' " frame sandwich board, inflatable):
Type of sign (e.g b �
Name of person responsible for removal of sign:
Phone:
Authorization
Business owner/authorized agent's printed name: S I�. Date: 7
Business owner/authorized agent's signature. �l• Date: a '
STAFF USE ONLY: Date filed: File numb s):7D 7, 0 0;`Sign Permit Fee:
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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: www.meridiancity.org
(Rev. 9121,106)
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SP-01-oU15