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HomeMy WebLinkAboutsp-07-039 Jarvis Dentali CITY OF el dia7i wi � JDA ICS Type of Review Requested (check all that apply) EffSign Permit Total value of sign(s) (excluding value of electrical portion &cost of installation : $ 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: �C�Q Pro �° r ffes Ph np aPhone: Zo �wQ Property owner's address: 9qr G✓70 Zip: Business owner's name: Q Phone: Business owner's address: 4 60 ©F t7�t/S� Zi : 3 709 p S1 contractor: � Phone. i Sign contractor address: J? 07 1&Zip: 03�71 �Z Primary contact is: ❑ Property owner ❑ Business owner Ksign contractor ❑ Other Contact e-mail: ou ea rco 6�4 e57c 4r,;i L4 _09044 Subject Property Information Fax: 3 7 7 • C-6 6—Z'10 - Business name: darvi s Oe/uutx I Location/street address: V F e,- rqA-L Zoning district: Range of addresses (if PSP): Legal Description: Lot Block G Subdivision�1� Is there an existin Planned Sign Program for this property? -Yes ❑ No ❑ Not required Comments: �'�i%� C.B �� `��f /+ ��'%/i✓�/l, %C�.l/�� Temporary Sig#f Permit Informalfon (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 name: Business owner/authorized agent's signature: Sign will be located: ❑ On-site ❑ Off-site Phone: Date: 5U J./O 1A `7 Date: STAFF USE ONLY: Date file Fi umber(s)4.5j!f'0 Sign Permit Fee: r r 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) d z y t7' 0 5 z T m V m 1> z 00 El G N iCi w 0 a � w � c�a °tee E 0 0 a� Ak LINDER U -f w uj E-7p U)