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Type. of Review Requested (check all that apply)
❑ Sign Permit
Planning Department
SIGN PERMIT APPLICATION
Total value of sign(s) (excluding value of electrical portion & cost of installation): $moo r
Total value of electrical portion only (must obtain electrical permit): $
C"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: t -r) q Ba, Phone: 7—
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7 -
Property owner's address: 9q!z m::?4 rd 5 , f~k l ao, 26, se 2,,, Zip: ?3 *?—
Business
Business owner's name: 5 Q M C? Phone:
Business owner's address:
Zip:
Sign contractor: L' C s Phone: ff 41 I ���
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Sign contractor address: Zip: F,3 2C%L5�
Primary contact is: ❑ Property owner WBusiness owner B-< .n contractor 11 Other
Contact.e-mail: -t6ci t9 A4 <M Fax: 3 &V? -- 3q 6 6
Subject Property Information
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Business name: 1-1�/�
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Location/street address: 3—c 6 '7 Crae� ,®cola `f- Dr-: Zoning district:
Range of addresses (if PSP):
Legal Description: Lot
Block Subdivision
Is there an existing Planned Sign Program for this property? Tires U No LI Not required
Comments:
Temporary Sign Permit Information (if applicable)
Size of sign: Height (in feet) Width (in feet) Sign will be located: U On-site U Off --site
Type of sign (e.g. banner, balloon, "T" frame, sandwich board, inflatable):
Name of person responsible for removal of sign:
Authorization
Phone:
Business owner/authorized agent's printed name: /n L4 M,.-esqDate: D
......... ........
Business owner/authorized agent's signature: Date: 4�XKI e
Or or
STAFF USE ONLY: Date file File r(s) -y-� gn Permit Fee:
Planlun ` De t a royal: Date.
g p pp
Buildin De t: approval.-
Date
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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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