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Planning Department
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Type of Review Requested (check all that apply)
Sign Permit
SIGN PERMIT APPLICATION
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Total value of sign(s) (excluding value of electrical portion & cost of installation): $ y �(
Total value of electrical portion only (must obtain electrical permit): $
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❑ 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:
Property owner's address:
Phone:
Zip:
Business owner's name: UYIN G PL,0-6(ZT Phone: _C -71G) I-LO—t` 5�;5
Business owner's address: , 3 (v2 HA -f— ,ANV,l AA/C. aCPJ Zip:
Sign contractor: GSL, nc6) wf_c_t�o C' �' ?.�l��r j, Phone:
Sign contractor address: 15V &to Zip: p'J /'
Primary contact is: ❑ Property owner ❑ Business owner ?(Sign contractor ❑ Other
Contact e-mail: wg c r gr ?zq S, cdLl
Subject Property Information
Business name:
Fax: 33(or97& H
Location/street address: �2 310 f. . cam'' ij`<_# M? nin district:
Range of addresses (if PSP):
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Legal Description: Lot Block Subdivision
Is there an existing Planned Sign Program for this pxoperty?xes El No 11 Not required
Comments: : --h
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Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet)(in feet)
Type of sign (e. er, balloon, "T" frame, sandwich board, inflatable):
Name erson responsible for removal of sign: Phone:
Authorization
Business owner/authorized agent's printed name: i11 Date:
Business owner/authorized agent's signature: Date:
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STAFF USE ONLY: Date filed- Filen r(s): `r' gn Permit Fee:
Planning Dept. approval:
Date:
Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6678 • Website: NN--u-w.meridiancity.ora
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