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Type of Review Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
ign Permit
Total. value of sign(s) (excluding value of electrical portion & cost of installation) : $
Total value of electrical portion only (must obtain electrical permit): $ Iry
❑ Planned Sign Program
❑ Temporary Sign Permit: o 15 day o 30 day o 60 day o 90 day Epiratiori date:
Applicant Information
Property owner's name: Phone: /-- 7.,d�
Property owner's address: C L_ W ' Rr) y r -a
Zip.
Business owner's name: Phone:
Business owner's address: (� ��. •%C�
Zip. 036
Sign contractor: G. _ - r Phone:
Sign contractor address:C c_ Zi 1 -7 %
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p•
Primary contact is: ❑ Property owner ❑ Business ownerSign contractor ❑ Other
Contact e-mail:S Fax:.' q
Subject Property Information
Business name:
Location/street address:
Zoning district: fr
Range of addresses (if PSP): X I `109 -7 _ � C
Legal Description: Lot Block l Subdivision : toev-1-
Is
there an existing Planned Sign Program for this property? ❑ Yes ❑ No ❑ Not required
Comments:
Temporary Sign Permit Information (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:
t
Business owner/authorized agent's signature: e-
� l LG -
Phone:
Date:
Date:
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660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancitv.org
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