HomeMy WebLinkAboutC-TI-2015-0180 WELLNESS FUSIONd{rry Planning Division
LIMITED DURATION SIGN PERMIT APPLICATION
Type of Review Requested
Limited Duratim Sigrr Permit:
fr1 day tr 15 day B 30 day D 60 day tr 90 &y XrrO
Ot. Expiration
Building permit nurtber (call 887-2211 for
informotion) c-Tr-oot3 {)
Applicant Information
Aqte'
owner's name: futtqYLf hi I i LLC
owner,sdr**lt 7a, i. CtaYenADnfia
Business owner's name: m
Business ownsr' s lddress: a ,
linder
Contact e-mail: t>n - wl
Su bject Property lnformation
Phone: UO q
Property rq '/ ar,
Property Lti) abi u
L Phone:
zip:
lff?%1771
O?U4U
Fax: ?Ltt(-d70- lrvq
.ste t
Business narne: tttle,hno ss frtEtbir't
Location/street ad&ess; U{tq N . Linfuf *rc.. I Lt) zonnsDisri*:
Limited Duration Permit Information
Size of sip: Height 1in|eaS, lltlZ' widflt finfee0:-A-:-Location of sign:
Type of sign (e.g. banner, balloon,
*T' &ame, sandwich board,
inflaaable): +trthtt.flaA
Narne of person responsible for removal of sigrr: fiirnt( vo Phone: / oqq tnq
Authorization
Business ownerlauthorized agent's printed t7
Business owner/authorized agent's Date:3 a_
STAFF USE ONLY: Date filed: SltOl
fl File nunrber( s\:A-ilD-&)j-Sigp Permit Fee:
Planning Dept- approval tben h oate: 1- ll, rl7
33 E BroadwayAvenug Suite 102 o Meridian, ldaho 83642
Phote: (208) 884-5533 r Facsimile: (208) E8E{854 . IMebsitc: www.meridiancrty.orB
(Rev. 0j/27D013)
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BY: ---
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AFFIDAVIT OF LEGAL INTEREST
FOR LMITED DURATION SIGN PERMN'
STATE Or rDAHO )
)
coItNTY OF ADA )
I,
(name) (address)
(ctty) (state)
being first duly sworn upon, oath, depose and say:
t. That I am the record owner of the prop€rty described on the attached, and I grant my permission
to:
(name) (address)
to submit the accompanying application(s) pertaining to that prope(y
2. The property own€r agrees that consent will be valid until withdrawn or until the property
changes in ownership.
3. I agree to indemni$, defend and hold the City of Meridian and its ernployees trarrrless from any
claim or liability resulting from any dispute as to the staternents contained herein or as to the
ownership of the p,ropedy which is tre srbject ofthe applicdion.
4. I hereby grart p€flnission to City of Meridian staffto enter tho subject property for the purpose of
site ins?ectims related to processing said application(s).
Dated this day 20
(Sigrrahrre)
SUBSCRIBED AND SWORN to before me the day arxC year first above writt€n-
(Notary Public for ldaho)
Residing
My Commission Expires: _
33 E Brodway Avenug Suite 102 . Meridiaru ldatro 83642
Phone (2ffi) 884-5513 r Facsimih: (208)
EE&6678 o Websire: wwry.mcridiarcity.org
toolE N' ltndtr ?d, Ele . L4D
STATE OFTDAHO )
)
COUNTY OF ADA )
AFFTDAVIT OF LEGAL INTEREST
(nanr) L) IL L\n,, L)
(city)
(name)
)-, L), - - (addrcss)
(state)
being firsf duly sworn upotl oaOL d€poce and say:
l. That I am the recrrd owncr of thc poperty dcscribed on the attrcte4
and I grant my
permission to:
(address)
to submit thc actompanying aFticatio(s) pertaming to thar property.
I agree to indemiS/, deferd ad hold thc City of Mcridian and its cmployees
harmless
from any claim or liability rcsuhing ftun.ry Oirg..t" * to rh" o","_.nts
contained
h€rein tr as to thc ownerstrip of rhc property wtriOr ii th sufiecr oithc aptication.
I hereby grant permisson to City of Meridian staff lo cntsr the subjccr property
prposelhe ofsitc for
irrspcctions rcLted to proccssing seid apphcatior(s).
Dated this of 20_
SUBSCRIBED AND SWORN ro befsc lne the and ycar firn abovc wrinen.
(Noldy Public Idaho)
-/).t
rBnatur€)
Residing at
t9 f- ,4O
13 E Bro.d*!y Suirc2to . Mcririao, t<o El6a2
Pho.E: l20t) tt4-5533 . FGimih: (20t) tSE{f7E . Wct6irc: $.wrv-nlcrdiarclly.org
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3.
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My Commission Expires: