HomeMy WebLinkAboutA-2017-0067 RENEWED EXPRESSIONS Limited Duration SignmEcErv$
Olrft IAN t
APR 2 0 2017
Planning Division
LIMITED DURATION SIGN PERMIT APPLICATION
Type of Review Requested
Limited Duration Sign Permit:
D7 day ! 15 day tr 30 day tr 60 day tr 90 day p nO a"y. Expiration
Property owner's name C-[..,...U< lA^'*hrq",o*r Phone:
Properfy owner's
Business owner's name Phone:
Business owner's address: lrJ . zip: a<lt 1
Contact e-mail: Fax:
Su ect Pro Information
Business name:
Location/street Zonhg District: &C=.
Comments:
Limited Duration Sign Permit Information (if applicable)
Size of sign: Height (in width (infeel: {
Location of sign:
Type of sign (e.g. banner, balloon, "T" fiame, sandwich board, inflatable):
Name of person responsible for removal of
Authorization
Business owner/authorized agent's printed
Business owner/authorized agent's signature Date:
STAFF USE ONLY: Date filed File Permit Fee:
Planning Dept. approval: Date:
zip
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33 E. Broadway Avenue, Suite 102 . Meridian, Idaho 83642
Phone: (208) 884-5533 . Facsimile: (208)
888-6854 . Website: www.meridiancity.org
(Rev. 03/27/201 3)
MA
IDAHO
Buildingpermitnumber(call887-221lforinformation)
Applicant Information
't
AFFIDAVIT OF Lf,GAT INTEREST
FOR LIMITED DURATION SIGN PERMIT
srATE OF TDAIIO )
)
couNTY oF ADA )
+
(name)
Y
(city)
being first duly sworn upon, oath, depose and say:
(state)
l. ThatI the record owner of the property described on the attached, and I grant my permission
to: ( /1
(address)
to submit the accompanying application(s) pertaining to that property.
2. The properly owner agrees that consent will be valid until withdrawn or until the property
changes in ownership.
3. I agree to indemnify, defend and hold the City ofMeridian and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained herein or as to the
ownership of the property which is the subject of the application.
4. I hereby grant permission to City of Meridian staffto enter the subject properly for the purpose of
site inspections related to processing said application(s).
Datod this I qJL day
)L*
(Signature)
SUBSCRiBED AND SWORN to before me the day and year first
for ldaho)
Residing
33 E, BroadwayAvcnue, Suite 102 e Meridian, Idaho 83642
Phone: (208) 884-5533 . Facsimile: (208) 888-6678
r websire: www.mcridiancity.org
MOLTI A ANDERSON
NOTARY PUBTIC
STATE OF IDAHO
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