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of Review Requested (check all that
PIanning Department
SIGN PERMIT APPLICATION
,Sign Permit
Total value of signs) (excluding value of electrical portion & cost of installation: $ c
Total value of electrical portion only (must obtain electrical permit): $
D Planned Sign Program
D Temporary Sign Permit: 0 15 day o 30 day o 60 day o 90 da E rafn `"date' x:3y
Applicant Information
Property owner's name: OVy$ C, Phone:
Property owner's address: 392 E • C 11A 7-Ero ! Ddr Zip: g 3 6 �
Business owner's name: IserIn e— Phone:
Business owner's address:
Sign contractor:
Sign contractor address:
Primary contact is: )Property owner D Business owner D Sign contractor D Other
Contact e-mail:
Subject Property Information
Business name:
Location(street address:
Zip:
Phone:
Zip:
Fax:
Zoning district: _&—
Range of addresses (if PSP): f -
Legal Description: Lot Block _ Subdivision ">+ 4
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"ante, sandwich board, inflatable):
Name of person responsible for rP o ?,o ign: Phone:
Businesser/au ag�t's printed namer l-/ Date: 2 O
Business owne orized agent's signature: /SA4E'T /<e)5 i V69i CP(AC Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile.' (208) 888-6854 • Website: wwtv.meridiancity.or
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PIanning Department
SIGN PERMIT APPLICATION
,Sign Permit
Total value of signs) (excluding value of electrical portion & cost of installation: $ c
Total value of electrical portion only (must obtain electrical permit): $
D Planned Sign Program
D Temporary Sign Permit: 0 15 day o 30 day o 60 day o 90 da E rafn `"date' x:3y
Applicant Information
Property owner's name: OVy$ C, Phone:
Property owner's address: 392 E • C 11A 7-Ero ! Ddr Zip: g 3 6 �
Business owner's name: IserIn e— Phone:
Business owner's address:
Sign contractor:
Sign contractor address:
Primary contact is: )Property owner D Business owner D Sign contractor D Other
Contact e-mail:
Subject Property Information
Business name:
Location(street address:
Zip:
Phone:
Zip:
Fax:
Zoning district: _&—
Range of addresses (if PSP): f -
Legal Description: Lot Block _ Subdivision ">+ 4
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"ante, sandwich board, inflatable):
Name of person responsible for rP o ?,o ign: Phone:
Businesser/au ag�t's printed namer l-/ Date: 2 O
Business owne orized agent's signature: /SA4E'T /<e)5 i V69i CP(AC Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile.' (208) 888-6854 • Website: wwtv.meridiancity.or
CERTIFICATE OF
ASSUMED BUSINESS NAME FILED EFFECTIVE
Pursuant to Section 53-504, Idaho Code, the undersigned
submits for filing a certificate of Assumed Business Name. �� -' PfiM
"
Please type or print legibly.
SEGi�iF ,=
NOTE: See instructions on reverse before filing. STAGE
-
STATE E: OF IDAHO
1. The assumed business name which the undersigned use(s) in the transaction of
business is:
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2. The true name(s) and business address(es) of the entity or individual(s) doing
business under the assumed business name:
Name
ZEJNPA V- U5T-JG REVP,C.
Complete Address
9 E . C, !-k A7 Ea U , TE)�
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3. The general type of business transacted under the assumed business name is:
Retail Trade
Wholesale Trade
Services
Manufacturing
Transportation and Public Utilities
Construction
Agriculture
Mining
Finance, Insurance, and Real Estate
4. The name and address to which future
correspondence should be addressed:
ZEJNA VG0C5rJER6�Ac
13a 2 E . C H AT E6 k -A NC
8 -As b(A MEP -t j)IPl,4 1:6
5. Name and address for this acknowledgment
Copy is (if other than # 4 above):
Submit Certificate of
Assumed Business
Name and $25.00 fee to:
Secretary of State
700 West Jefferson
Basement West
PO Box 83720
Boise ID 83720-0080
208 334-2301
Phone number (optional):
Secretary of State use only
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Signature: E N
(signature required)
IDAHO SECRETARY OF STATE
Printed Name: P 7n 4� 02/0112007 05:00
CK: CASH CT: 158010 BH: 1030479
Capacity/Title: Obv ,U _ _ 1 @ 25.00 = 25.00 Assun NAMEz
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(see instruction 4 8 on back of form)
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