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Planning Department
SIGN PERMIT A.PPLICA.TION
Type of Review Requested (check all that apply)
dSign Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation) :
Total value of electrical portion only (must obtain electricalpermio: $
❑ Planned Sign Program -
•
porary Sign Permit: 0 15 day o 30 day o 60 day j
^�:vr,^�Y::!x
� pira�o�x date
Applicant Information
Property owner's name: ti t--Q.Ph{ , - •.. �.- _
Property owner's address: " '" �- ti (,�' �- �� � - Zip: =ti tA [ ( Z--
Business owner's name:Ph
one: �
Business owner's address: LA/-\ Zip:
.Sign. contractor: `4�r�•. �' c�
Phone:-
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Sign contractor address: Zip.
Primary contact is: ❑ Property owner ,Business owner ❑ Sign contractor ❑ Other
Contact e-mail: "�`' • �rJL"��'�'`''L.
Fax:
Subject Property Information
Business name.`= V-k.L� L
Location/streett address: Zoning district:+`
Range of addresses (if PSP):
Legal Description: Lot Block Subdivision
Is there an existing Planned Sign Program for this property? P&es ❑ No ❑ Not required
Comments:
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet) Width(r• Si e located: ❑Off site
Type of sign (e.g. banner, balloo frame, sandwich board, inflatab .
Name of person responsfor removal of sign: Phone: — t"
v
Authorization
Business owner/authorized agent's printed narne: .. Date: �-
Business owner/authorized agent's signature: Date:
t
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642 _
Phone: (208) 884-553-3 Facsimile: (208) 888-6854 • Website: www.meridiancity.org
• (Rev. 9/21/06)
SP-o't- l53
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