HomeMy WebLinkAboutA-2017-0075 MOXIE JAVA - Limited Duration Signt
E IAN Planning Division
LIMITED DURATION SIGN PERMIT APPLICATION
-
Type of Review Requested
Limited Duration Sign Permit:
D7 day tr 15 day tr 30 day tr 60 day tr 90 day
Building permit number (call 887-221 I for
information)
Applicant Information
{ro ou, Expiration 1
Properfy owner's name
Property owner's
Business owner's nu*", -\,r,*,,.r,--Ftna I,{otl I eJqg
Business owner's address: t/$A
Contact e-mail
Subj ect Property Information
d
Phone: V23 c1!;7
zip: 3 31 o1
Phone: Jtog
..,61, l_
qrig la
zip:
Fax:
q7'1p?
Business name:
Location/street address:
l!t
Zoning District: C_G}
Comments J t^"*, ^^ 1 O rl.C'ol\l-
Limited Duration Sign Permit Information (if applicable)
Sizeofsign:Height (infeet): 4t Width(infeet): 5/ Locationofsign: 1,.",,.+ G"u.-Fl\eule*)
Type of sign (e.g. banner, balloon, "T" frame, sandwich board, inflatable): R^,^ ^o/l
Name of person responsible for removal of sign:
Authorization
PhonQoB -9t l- 49t L
Business owner/authorized agent's printed name: . ),,^5?.-{nl .., i,rr,."r^
Business owner/authorized agent's
-a i- 17
pals; ,_l-a l_ I Z
STAFF USE ONLY:Date filed ,t lz-\ ilr File number(s): 2_
Planning Dept. approval: Date:
Permit
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33 E. Broadway Avenue, 02 r Meridian, Idaho 83642
Phone: (208) 884-5533 r Facsimile: (208) 888-6854
r Website: www.meridiancity.org
(Rev.03/27/2013)
L
IDAHO
APR2I
I
BY:--
STATE OTIDAEO )
)
couNTY oF A.DA )
AFFIDA\IT OF LEGAL INTEREST
43*) f- eu,ttn- lttt l,oro NZ'
ld-aln n(address)
L 4 , ,, olfl]")
p s<.*1v
-1 (crrf) (state)
being first duly swom upoo, oath, depose and say:
1. Ihst I,m the record owner of the property described on the attached and I grant my
permission to:
t{hn A/- Grnile
(address)
a
to submit the accompanying application(s) pertaining to tlat property.
I agree to indemnify, defend and hold the City of Meridian and fu 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.
I hereby grant permission to City of Meridian staffto enter the subject property for the
pupose of site inspections related to processing said application(s).
n czVl--
Datedthis Lt dav
{).-\ v J Q*.u rS
(Signaturc)
SIIBSCRIBED AND swoRN to before me the day and year first above vrittem..
fNota{v Public
o Residing
My Commissiou Expires (- 3a
2a /3
o
otrtg
33 E. Broadnay Avlauc, Suite 102 . Meridim, Idabo
g3642
Phone: (208) EE4-5533 o pacsimils;
(2oE) gEE-6sJ4 . website: ww*..meridiancit!,.orq
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