HomeMy WebLinkAboutsp-07-065 Preferred Physical Therapy. 1
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Requested (check all that apply)
Plannffig I?epartmeiat
SIGN PERMIT APPLICATION
�Szgnl'ezmit -
Total Value Of sign(s) (exehrdingvalue ofelectr3calpoTvon & cost of installation:
Total value of electrical portion only (must obtain elechjcalpermiV: $ _
C( Planned Sign Program
Q Temporary Sign Permit: 0 15 day o 30 day' 0 y y 60- da o 90 dacl'at ° r .
AppiicW information
Pigper' owzmer's name: 1
Properly owner's address:
Phone: �if�LJ ��
Zip:
XBusiness owner's naive: G,i7Oji/ Phone:. ':01 -
Business owner's address: Cl ,- I 1 --_AD l S4' :r- 1.2 Zip: q?) 7d
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Sign contractor: K, ki��C'C� �a �S ga s� Phone: tau " Z6f)O
Sign contractor
Zip:-
Primary contact is: ❑ Properly owner ❑ Business owner contractor Q Other
Contact e-mail:kz qs4t'-C 1 j- rc,S Yz � n rnn nG (' n gra-) Fax:
Subject Property fnf`orrination
Business nanaae: -('p .L -J 766E
Loca-tion/street address: o I/ 07,E' � r <p �, Q /C� v► ��Zonipg district::
Range of addresses (ifPSP):
Legal )Description: Lot _ Block Subdivision
Is tteze an existing Planned Sign Program for this pzoperty?'� Yrs ❑ No ❑Not required
Co)Vxaeuts•
Tempbxary Sign Permit information (iif applicable)
Size of. siga: Height (infee) Width (infeetJ
'Type of sign (e.g. banner, balloon, "T" game, sandwich board, inflatable):
Name ofperson responsible forremoval of'sign: Phone:
.A-6thorization
Business owner/authorized agent's printed name: &AF 0 4 e Date:
Business owner/authorized agent's signature:/s-1- Data:,
- - - - - - 660 E. Watertowez-T aue,- Sufte 202- Meridian;-1daiio 83642-;-'-
908)894-5533
36?2-.-208)884-5533 o Pacsiznilu; (208) 88&6854. Website; WwVY maridianciY of
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