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Type of Review Requested (check all that apply)
Planning Department
SIGN PERMIT APPLICATION
Sign Permit
Total value of sign(s) (excluding value of electrical portion & cost of installation): $ V.200
Total value of electrical portion only (must obtain electrical permit): $_
❑ 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: +4w-v&\f K,� Phone:
Property owner's address: 'i2q 30 UI �&NKF _G Zip: g 5r71 V
Business owner's name: i( Phone: &'� - 6OJ % (/.�
Business owner's address:
Zip:
Sign contractor: C2 0"_1je04 / Phone: s7— 3
Sign contractor address: ( Zip:��
Primary contact is: ❑ Property owner C] Business owner Ksign contractor ❑ Other
Contact e-mail: f- L1,cw � ZL�IW 0 C"J l f E -N t�r�tS. Ct?�''� Fax::
Subject Property Information
Business name:_ C� �4_t
Location/street address:_Zoning district:
Range of addresses (if PSP):
Legal Description: Lot Block Subdivision
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) Sign will be located: ❑ On-site ❑ Off-site
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:
Phone:
Date:
Business owner/authorized agent's signature: '--J 6�f; C, -t cy� GG�-�iJ Date: 5,-j2Cj::Z'
STAFF USE ONLY: Date filed: File number(s): "0407r Sign Permit Fee:
Planning Dept. approval: Date:'
Building Dept. approval: Date:
660 E. Watertower Lane, Suite 202 • Meridian, Idaho 83642
Phone: (208) 884-5533 • Facsimile: (208) 888-6854 • Website: www.meridiancity.org
(Rev. 9/21 /06)
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