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Type of Review Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
Sign Permit Q
Total value of sign(s) (excluding value of electrical portion & cost of installation): $ O
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: 9- Phone: IT L" CIC11
Property owner's address: 2_1Z14_ . C � per �-E i (�t eric�3... Zip:
1�f Z
Business owner's name: 1"c1s.q��1� 1�a,4.�,` r, ►� �r (ems Phone: $�� -7,0 l
Business owner's address: 2 14 G Zip: 7-3 (p44 z—
Sign contractor: Sue `_00V__ S 1 _ Phone: 314 • J 0cl
Sign contractor address: ��� - 3� " Zip: B 3�
Primary contact is: ❑Property owner ❑ Business owner [R Sign contractor ❑ Other
Contact e-mail: U 4A 8 Su e-- 6 c.1e101U-- c4 C5 -i Zv` , t -C . Fax: ?j � 3 As 2p
Information
Business name: e._" wv-r [ C_ a
Location/street address: (le fil.f UM Waw Zoning district: L ---
Range of addresses (if PSP):
Legal Description: Lot 24 Subdivision�`t `Jwb
Is there an existing Planned Sign Program for this property? ❑ Yes P 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:
Authorization
Business owner/authorized agent's printed
Business owner/authorized agent's signatu
Phone:
_ Date: 13' O �-
Date:
STAFF USE ONLY: Date filed: File number(s): ✓ ign Permit Fee:
Planning Dept. approval: Date:
Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 9 Facsimile: (208) 888-6678 • Website: www.meridiancitv.org
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