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Type of Review Requested check all that apply)
Planning Department
SIGN PERMIT APPLICATION
XSign Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation): $ l
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:
Annlicant Information
Property owner's name: _
Property owner's address:
Business owner's name:
Business owner's address:
Phone:
Zip: l
Sign contractor: Phone: •
Sign contractor address: 3&7 Zip:
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Primary contact is: ❑ Property owner ❑ Business owner ign. contractor ❑ Other
Contact e-mail: Fax:_��
Subject Property Information
Business name:
Location/street address: S %I k ( "1j<e_ Zoning district:
Range of addresses (if PSP):
Legal Description: Lot Block Subdivision AfArdl — —, 2� 0,
Is there an existing Planned Sign Program for this property? ❑ Yes ❑ No ❑ Not required
Comments:
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Temporary Sign P itrnfor/m*ataioijVappjicte
Size of sign: Height (in feet) Width (in feet) Sign will be located: ❑ On-site ❑ Off-site
Type of sign (e.g. banner, balloon, "T" frame, sandwich board, inflatable):
Name of person responsible for removal of sign: Phone:
Authorization
Business owner/authorized agent's printed name:
Business owner/authorized agent's signature
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K..,-Date: �� 10�h,)
Date:
STAFF USE ONLY: Date file File ber s - `6 � Si Permit Fee:
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Planning Dept. approval: Date:
Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org
(Rev. 9/21/06)
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