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Planning Department
J4fil SIGN PERMIT APPLICATION
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Type of Review Requested yp q sted (check all that apply).%_ 9
Aign Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation) : $ 'l1
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:TO M -&VAS
� Y Phone:
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Property owner's address: _ 10 � Ivl ���� ��'�, A& zip:
Business owner's name: d� MWI/c Phone: 004
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Business owner's address: 60 &,V6 �, R A& W &aAw Zip:
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Sign contractor: +t "' a Phone:
Sign contractor address:oU .4 p
Primary contact is: ❑ Property owner ❑ Business owner dsign contractor ❑ Other
jGq�Contact a -mail: Fax:
Subject Property Information
Business name: I At ` �t t� (D 6kL�,�4.
Location/street address:��►�
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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:
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: j AW Phone:
Authorization
Business owner/authorized agent's printed name:
Business owner/authorized agent's signature:
Date: / //Q/0%
Date:
STAFF USE ONLY: Date filed: File e be (s):OV �Sign Permit Fee.
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PlanningDept. approval: Date:
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Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6678 • Website: www.meridiancity.org
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