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Type of Review Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
><Soign Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation): $ 00
Total value of electrical portion only (must obtain electrical permit): $ / b
❑ 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: ps NEst Phone: f*(P-&S24-5P*
Property'owner's address:
Zip:
Business owner's name:DFN HESE.- S%/f^jPhone:
Business owner's address: 41W a?40 71 Ki TEAAJn 40& « Zip:
Sign contractor: <C Phone:
Sign contractor address: Zip: )R37-ke-f
Primary contact is: ❑ Property owner ❑ Business owner VSign contractor ❑ Other
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Contact e-mail: /� x:(�
Subject Property Information
Business name:
Location/street address: We Zoning district:
Range of addresses (if PSP):
Legal Description: Lot Block Subdivision
Is there an existing Planned Sign Program for this propertyYYes ❑ No ❑ Not required
Comments: CeAfepwe"1
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet) I Width (in feet)
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: Date: svor4v
Business owner/authorized agent's signature: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 o Facsimile: (208) 888-6854 • Website: Nyw—w.meridiancit .ori
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