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Type of Review Requested (check all that apply)
.IKSien Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation): $
Total value of electrical portion only (must obtain electrical permit): $
Planning Department
SIGN PERMIT APPLICATION
❑ 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:
Property owner's address:
Phone:
Zip:
Business owner's name: ill; �t )�lri a h e..,� Phone:
Business owner's address:- (�� �.- �s / en l 3 // I /'rhh /r/. n, Zip: 6 `�
Sign contractor: J: e h S r j -c Phone: ' f S 9
Sign contractor address: / 0 i� etch k l.'� ,i . Sr ,'><ti /0 Z 1.14cr.cf Zip: 6 `/
Primary contact is: ❑ Property owner ❑ Business owner (Sign contractor ❑ Other
Contact e-mail: 5" 62-c 12'1 c. % ( r-� o
1 G t..
Subject Property Information
Fax: Z v 7- 6.? I G
Business name: 1 i,. Pt S /I
Location/street address: A 1,-Y, 10.3 Zoning district: T
Range of addresses (if PSP):
Legal Description: Lot J e Block Subdivision A
Is there an existing Planned Sign Program for this property? ❑ Yes ❑ No ,Not required
Comments: _ /4,J p e,e n 1'ti • �, t .
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet).23 Width (in feet) �L7 - 'S Sign will be located: ❑ On-site ❑ Off-site
Type of sign (e.g. banner, balloon, "T" frame, sandwich board, inflatable): in cr/,c �Sfw ��� dr o,'n T C
Name of person responsible for removal of sign: /CYC ,' /k Phone: 99'q - E'Y �%
Authorization
Business owner/authorized agent's printed name: Date: / [>/ /'Z /0-7
Business owner/authorized agent's signature: ��=j Date: Z // J
STAFF USE ONLY: Date filed: 1File number(s):. ' Sign Permit Fee:
Planning Dept, approval L 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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