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APPLICATION, DESIGN, & MAP - 05-00110 - Subway - Sign
©~ ~~or~ ~~~/ n c~ w CITY OF REXBURG G~ %%!L1""j o~' P.O. Box 280 Rexburg, Idaho 83440 STATE OF IIDAHO ~ - X208) ~s9-so2o APPLICA~`IOIVTT l - ~--~~ ~"~ ~~~~ FrxEn ~ 0S 00110 Date of Application ('~ ' ~ ~ - ~ ~ Si Subway South S i n ~- Owner Name ~,~1 ~ ~ J~V C,~(ll ~(JU~-~~ ~P ~ ~O®~ GO©~ 4 y~ Site Address: '~ (~ ~ ~ ~ 1~-~ (~' ~,,t ~-Q S-~' Mailing Address: _ ~, ~~{~~ - City/State/Zip: ~~,~ -ti(' ~~~~ Telephone ~ Cj°~ ' ~ ~ ~ Mobile: ~ ~ ~ _ 2j a(~ Contractor's Name: ~j N ~~ t ~ ~ S~ Contractor's Address: ~ ~K ~(.~ (~~ Contractor's Telephone: _ ~~ ~j ` L~-2~1 ~_Mobile: ~J ~ ~J ' ~ S ZC~ Sign area sq. ft --~~ 3p Sign Height (from ground) ~~~ Sign Descriptions: ~ ~ (~ ~~~ ~ ~~~ ~~ ~~ Q ~ ~ ~ ~ ~ X ' ~ ~ Fora Sian Permit it is ~mandatorv that you have the following information: Engineer stamped if required 2 sets of elevation drawings of si & jplot.plans zfaDalicable) Drawn to a scale with dimensions And complete construction materials ~v~' Footings if applicable ~~~ ~ L FREE STANDING SIGN ^ PLOT PLAN TO SCALE SHOWING '=1 - ^ A) BUII,DING LOCATION ^ B} LOT SIZE ^ C) NEW SIGN LOCATION ^ D) DIMENSIONS TO SIGN FROM PROPERTY ^ E) PARKIlIG LOT ENTRANCES ^ ~ DISTANCE OF SIGN FROM RIGHT OF WAY ^ G) EXLSTING SIGNS LOCATION & AREA ^ H) IS SIGN LIGHTED? YES (must meetstate electrical.. 2 ~ 2,~ WALL SIGNS ?~. A) SQ. FOOTAGE OF WALL (57GN oN) 1 ~ D ~ ^ B) EXISTING SIGNS & AREA ^ C) NEW SIGN & AREA .~D tl ^ D) LOCATION OF SIG N WALL ^ E) IS SIGN LIGHTED`~~YE" (musr meet state electrical code) (sign must be ~in Iega1 zone for ling and type) must be in legal gone for lio cling and type) Fee: $100.00 - $75.00 refundable at time of ~ spection and photo of completed sign. - Signature of Applicant: Note: T7zis document is for application p oses only (the legal signpermitforrn must be signed by city o,~cials before sic z is approved) w~ 1 .~ ~ i f ~ k~; >~ ~. ~ : ~, 3 7` . t~ t~ f e Ir 1 ~: ~ ~ f .:, - ~~ i ' ~ ~ t (~ I a . r r .. ~ t ~ ~` ~ ~ { li t' ~ <1C.. ..Iw i 5( ` ~F F ~ 11~ s. I I a n ` I i ~ ? ~ ~ ~ t I i I : FS }kkk} ? ~ ~ a '` ij t Y ' { ~ ~ •; ( t j l e [{ ~ I~ ~~ {1 Ei j ~ ~ t ~ i .. .... ~ .. ,. l~~' '~ ~~ F ~ ~ F 3 ~ {{ E 7777 3 ] t 1 I ' F~ € F i ~e e~~ ! , i ! € ~ ! ~ ~ iii ~ j .... .. ~~~'~.: . ~ ~~~t ~ . ji ~ ~ ~ is j ~ Fe~ i f ° f j3 ~ ~ ~ i ! i °ey yw. it". ... s, : ;': i : :. f I :;5 ' , 77 tie s , '. a 3 t .. :i I f I ~ I# 1 ~ ` ~~ ~ i ~ "~` ° 1 ' I` ~ ~ l ~. Q ~ !tp i s \ Q ~ls ~~f i j g:{~ £ (' ~ A V I I ti ~' I F~ o~~~x~~R~. 0 ~ -- _. » ~' s I ~ ~' STATE OF IDAHO OFFICIAL SIGl'~ PERMIT APPROVAL FORM FIXED SIGl`TAGE CITY OF REXBITRG P.O. Box 280 Rexburg, Idaho 83440 (208) 359-3020 ]pax (208) 359-3022 DATE: _/y-os TIME: /3/0 /I r~ SIGN PERMIT # S- 6 6a / a OWNER NAME: ,~ SITE ADDRESS .S 2 CITY/STATE/ZIP: ~ y,~~a TELEPHONE 35 - MOBILE ~ _ 8 CONTRACTOR'S NAME ,• ~ / CONTRACTOR'S ADDRESS 2 ~ ~ , 3 ~~o TELEPHONE .,t _ MOBILE 3i3 - ~SZo SIGN APPROVAL PROCESS COMPLETE OR PROBLEM AREAS SIGN REVIEW TO MEET Initials APPROVED CURRENT SIGN CODE refer to notes for reason('s) for denial DENIED ENGINEER REVIEW TO MEET Initials APPROVED ,Q CURRENT CITY BLDG CODE refer to notes for reason('s) for denial DENIED PLANNING AND ZONING ADMINISTRATOR Initials APPROVED OR PLANNING & ZONING REVIEW refer to notes for reason('s) for denial DENIED CONDITIONAL USE PERMIT YES if yes are all conditions met? APPROVED OR N/A ,g , REQUIRED NO refer to meeting notes attached DENIED red marks indicate areas needing correction before sign can be approved number marks nofes ~/ '/ Si nature Of Approval 8 City: ~Z~~ , ~~h,_ signature to be signed by planning & zoning administrator or fhe city clerk after 4 categories approved