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HomeMy WebLinkAboutsp-06-010 total wellness chiropracticType of Review Requested (check all that apply) ©'Sign Permit Total value of sign(s) (excluding value of electrical portion & cost of installation) : $ Total value of electrical portion only (must obtain electrical permit): $ Ir Planning Department SIGN PERMIT APPLICATION ❑ Planned Sign Program ❑ Temporary Sign Permit: o 15 day o 30 day o 60 day o 90 day o .date Applicant Information Property owner's name:%l(4 Z4r ' &A Phone: Property owner's address: ��lo r,�s 6�Alv Zip: ' r✓ G, Phone: Business owners name: . 1✓ d Business owner's address: /eft E` s � �r� !A �+ fG� Zip: 30' Sign contractor:114: It te3ilA '1.4y 4411A, Sign contractor address: //,(,a /V. x' IV44:4j IP(YAJUA #116y Primary contact is: ❑ Property owner 2*B""usiness owner ❑ Sign contractor ❑ Other Contact e-mail: f i //In C Subject Property Information Phone: - % lr7 5'9-Y6 Zip: X36.5,,55 Fax: --`�' ty — 'Sg -e�> fff -a Business name: f M / ,. 42nnC i_j .-/, i� ' Location/street address: L �� Zoning district: OLS ��.. Range of addresses (if PSP): Legal Description: Lot �3 Block Subdivision 4) V;o vv Rf fz, -0- 2 - Is there an existing Planned Sign Program for this property?'. Yes Xo Not required Comments: Lf3LJ. Z S -f . C:)r LAJ01 U A-re.cL- Temporary Sign Permit Information (if applicable) Size of sign: Height (infeet) Width (infeet) Type of sign (e.g. banner, balloon, "T" frame, sandwich board, inflatable): Name of person responsible for removal of sign: Authorization Phone: Business owner/authorized agent's printed name: Date: Business owner/authorized agent's signature: d Date: :USE:ONLY: Date f led.: y S� Permit. Fee :,::.ST -,AAF--. F Ie numbers.: lC1. Pjar�nzng De t: ap royal: ' ... ..... Date. p . p ; Building Dept. approval: Date 660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642 Phone: (208) 884-5533 9 Facsimile: (208) 888-6678 9 Website: NNn-yNv.nmcridiancity.org i11 4-6, 1 �` a AeSS c^6ply /V"1115 -9reA AP O f e i`- 10J0 Of l 5,�ec Gurvvs GG77E:2i�/G- fi'v��f i otalW- e11ness�4 Chiropractic and Holistic Care _ ?ar a 2-6 j t9n G✓� �� �� ��� "fin OR t -LA , f3 A!;t� AA -1* X3612 '6 -7-07116 Z,16alV6jr ,GHWO,011 &;rrC- i- G /,2 c v eGri�✓� `, pv`T JAc-w/'Zovlv2N