HomeMy WebLinkAboutAPPLICATION - 05-00144 - TMobile - Sign~~.~ _ C ITY _O( __.... _
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SIGN PERMIT
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359-3020 /Fax (208) 359-3022
Project Information Permit # OS 00144
Permit Type Sign Permit Project Name T Mobile Sign
Site Address 383 S 2ND W Parcel # RPROOOP0084491
Project Description
T Mobile Sign
Names Associated with this Project
Type Name Contact Phone # License # Exp Date
Applicant Evans, Jeff 208-524-1441
Owner Evans, Jeff 208-524-1441
Fee Information
Project Valuation
Sign Permit 25.00
Refund for a Sign Deposit -75.00
Sign Deposit 75.00
Total Fees Paid $25.00
Conditions
1. Height can be no greater than 24'
*** SEE ATTACHED CONDITIONS ***
Print Name
Date Issued:
Signature Date Issnea sy:
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4~'pLI~AZ,ION ~' R SIB 45 00144
~~ T-Mobile Sign
Aare of Appiicatioa: 1~f ~ ~t' ,~ , `~~`~ gxgn
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bite Adciress:__ _ „~ 83 S Z~~ !~ ~,,~ ~,r ial ~'Lly.G ~ 1 t ~ ~ ~ /~
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Contractor's Name: ~-/-1~ t~Nt ~"~l~ ~~ rr~x ~ '
Contractor's Address: /~~ L ~ ~~.~~.~-~-ev ,~~~ ~~}~ ~u~
Teieplsone; 5 Z ~ - <_~ 5 ~~ Mobile:
Fet: S.10d.80 - S75.Ot? rePuadable at time of ~aai inspection snd photo oaf cvmpYeted sign.
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Signature of Sign Inspector:
Date of ~'ina1:(nspectioz~ and Rctuzn Deposit:
Sign Square Footage: .Z~ ,Sign Height; ~~y "~
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STATE OF IDAHO
OFFICIAL SIGl'~ PERMI'T' APPROVAL FORM
FIXED SIGI'dAGE
CITY OF REXBURG
P.O. Box 280
Rexburg, Idaho 83440
(208) 359-3020
Fax (208) 3~9-3022
DATE:3 -/g-~~~ TIME: /ooo
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SIGN PERMIT # S-
OWNER NAME: ~- _ _
~ v
SITE ADDRESS ,v - ~ _ 3
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CITY/STATE/ZIP: ~
TELEPHONE Zo _ SZ _ / ,
MOBILE
CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS - ~ _ o ~ -
TELEPHONE _
MOBILE ,r{.
SIGN APPF20V L PROCESS COMPLETE OR PROBLEM AREAS
SIGN REVIEW TO MEET Initials APPROVED
CURRENTSIGN CODE refer to notes for reason('s) for denial DENIED
ENGINEER REVIEW TO MEET Initials APPROVED
CURRENT CITY BLDG CODE refer to notes for reason('s) for denial DENIED
PLANNING AND ZONING ADMINISTRATOR Initials APPROVED ~
OR PLANNING & ZO~dING REVIEW refer to notes for reason('s) for denial DENIED
CONDITIONAL USE PERMIT YES if yes are all conditions met? APPROVED OR N/A
REQUIRED NO refer to meeting notes attached DENIED
red marks indicate areas needing correction before sign can be approved number marks
notes : yes _' / ; ~ - - ~ l ,~'
~ l~ s'
Si nature Of Approval B City:
signature to be signed
by planning & zoning administrator ~~
or the city clerk affer 4 categories approved ~i:/