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Planning Department
SIGN PERMIT APPLICATION
Type of Review Requested (check all that apply)
Sign Permit
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Total value of sign(s) (excluding value of electrical portion & cost of installation): $ 1 J J
Total value of electrical portion only (must obtain electrical permit): $ 1 y 1A
❑ 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: �, � � 0 Em c- l v� c. Phone: �iJ'zZ S y 1 u
Property owner's address: / Z L 1 %y ! mL �a �� _nsf . I D d i3 a &' s yc Zip: �c3? O / / ?
Business owner's name: �C�` i.,a r r' H r' `Zo, d < < C
b Phone: �32I — 6 3 `T J
Business owner's address: :2 3 b 0 („)I , G V -r L g� Zip:
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Sign contractor: s F t c. Phone: 'S F7 —S 6 ? b
Sign contractor address: ai 10 6 l��a n %1,',-, X o Z P7. r,J Zip: .4.
Primary contact is: ❑ Property owner ❑ Business ownerSign contractor ❑ Other
Contact e-mail: + C_ h, ou C, o ov Fax:
Subject Property Information
Business name: l + e
Location/street address: 2 3 6 D (,) • r c, -r -, S f ), vv, ) 6'0 Zoning district:
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Range of addresses (if PSP): // {
Legal Description: Lot _ Block Subdivision �-1MAe,_ l I �,� � 1(_4 - iya /
Is there an existing Planned Sign Program for this property? Yes ❑ No XNot ged
Comments: 126[ (k A
Temporary Sign Permit Information (if applicable)
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:
Authorization
Business owner/authorized agent's printed name:
Business owner/authorized agent's signature:
Phone:
Date: U 0 7
Date:
STAFF USE ONLY: Date ed: File number(s). J95 Sign Permit Fee:
Planning Dept. approval: Date: _) i x 67
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Building Dept. approval: Date:
660 E. Water -tower Lane, Suite 202 a Meridian, Idaho 83642
Phone: (208) 884-5533 a Facsimile: (208) 888-6854 a Website: www.meridiancity.org
(Rev. 9/21/06)
Thi Kids'
2 Layers of 1/4" Acrylic
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9" Formed plastic Letters
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Store Front 58'x19'
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