HomeMy WebLinkAboutsp-06-006 Idaho Minor Emergency and Family Practice;' ✓�
Planning Department
IDAHO } ��
SIGN PERMIT APPLICATION
Type of Review Requested (check all that apply)
Sign Permit
�:. 00
Total value of sign(s) (excluding value of electrical portion & cost of installation): $ 2,'U 44
Total value of electrical portion only (must obtain electrical permit): $ Lto
❑ 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: A`Pm oNn (H oD4: lj Phone: lac
Property owner's address: 3041 vur-.Ir DP. Zip: ii3 49 (4
Business owner's name: QAY Q1\ Phone: S1 4frv_
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Business owner's address: 042Zip: afz ca
Sign contractor: Apo} fkn .S/Vsl% Phone: �3
Sign contractor address: 1 (Lf ?8 Zip: '237/
Primary contact is: ❑ Property owner ❑ Business owner N Sign contractor ❑ Other _ V&�
Contact e-mail: Uf- v4j6U-- tsJ (2 Cmc` & � r Fax: t✓
Subject Property Information
Business name: I���' ,t 1 N?��(z- - 2r-� ' dV j� ;,/ j?9AC jrcr.
Location/street address: cow fit-- 00 NT M& Zoning district: C
Range of addresses (if PSP):
Legal Description: Lot 14 Block Subdivision 0ON yro
Is there an existing Planned Sign Program for this property? El Yes ;Wo )'Not required
Comments: s 104 (al f �t-S i V -.f qis
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
nflatable):Name of person responsible for removal of sign: Phone:
Authorization
Business owner/authorized agent's printed name: 90GE2 Date: 1 0-0C,
Business owner/authorized agent's signature: Date: j-- --n&
STAFF USE ONLY: Date filed• File numb (s). '��� Sign Permit Fee:
Planning Dept. approval: Dater
Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6678 o Website: y,-Xvw.meridiancitv.opz
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