HomeMy WebLinkAboutsp-06-047 Rehab Authority3
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IDAHO
Type of Review Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
14 Sign Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation) : $ J59 75, clo
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Total value of electrical portion only (must obtain electricalpermit): $ f , 1-75P
❑ Planned Sign Program
11 Temporary Sign Permit: o 15 day o 30 day o 60 day o 90 day Exp'*::`
�rat�on date
Applicant Information
Property owner's name: ko r i -
P p �Y
no�e: 3�— 870g
Property owner's address: Zip:
Business owner's name: 0AaF,%Phone: -3 2- Z, V
Business owner's address: r-- C ice}Vi'
.. Zip: &4
Sign contractor: vAA ke.r- h i Phone:
Sign contractor address: r9 10 6ie, 72 ZiC�2
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Primary contact is: .0 Property owner ❑ Business owner K Sign contractor .❑ Other <<.
Contact e-mail: �- _ r1 �e_ti� Fax: q6!5 —0 3 7 %
Subject Property Information
:Business .name:
Location/street address: i !!V k° - Y �'`�i1 Zoning district:
Range of addresses (if PSP): r-----��
Legal Description: Lot Block Subdivision
Is there an existing Planned Sign Program for this property? ❑ Yes .❑ No ❑ Not required
Comments:
Temporary Sign Permit Iri�Wmation (if applicable)
0'0'�I
'Size of sign: Heightr,(in eet) Width .(in feet)
Type of sign (e:g. "banner, balloon, "T" frame, sandwich board, inflatable):
v�
Namefof person responsible for removal of sign:
Phone:
Authorization
Business owner/authorized agent's printed name: lt'1 Date:
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Business owner/authorized agent's signature: Date: 45C,1'5�,O&
ST. AFE.USE:.ONLY Date filed• Fzle numb`. f igh. Permit Fee
<:Plannul De t a royal:
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:Date:
Buildlug.Dept.approval : :.Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website:-vww.'meridiancitv.orR
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