HomeMy WebLinkAboutAPPLICATION - 05-00412 - Walmart Subway - Sign`c+
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Ai~tEiL1CA'S FRMtLY COMMtlN(TY
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19 E. Main (PO Box 280) Phone: 208-359-3020 x2
Rexburg, Idaho 83440 Fax: 208-359-3024
www.rexburg
Application for ~ ~5 X0412
Fixed Sigr. W'al-Mart Subway Sign
Applicant Information
Date of Application: 1~._ Z(~ ~5 2 ~' X~~ ' Tje ~ Number:
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Owner Name: ~,~ ~~
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Site Address: ~
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Mailing Address: `j 3~ ~ i
2 d o ~ s ~' City/State/Zip ~ ,
Telephone: Mobile:
Contractor Information
Contractor's Name: ~]~,'~ S ?y ~, (iL~ ~-~
Contractor's Address: 2-L~j ~ { [~,,,, ~ ~Q, City/State/Zip l ~~ ~_~tl ~~ ~~~D
Contractor's Telephone: _ ~ Z ~ ( 4 ~ 4, ~ Mobile: 313 (~a~
Sign Information
Sign area sq. ft: 2~ ~'• Sign Height (from ground): J ~ I
Sign Descriptions: ~; ~ c~ 2 ~ ~ ~
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (plot plats if ap licable)
Drawn to scale with dimensions
And complete construction materials
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Engineer stamped if required S~~ D ~ ~J CK
FREE STANDING SIGN WALL SIGNS
^ Plot Plan to scale showing: ^ a) Sq. footage of wall (sign on)
^ a) Building location ^ b) Existing signs & area
^ b) Lot size ^ c) New sign & area
^ c) New sign location ^ d) Location of sign on wall
^ d) Dimensions to sign from property lines ^ e) Is sign lighted? Yes (must meet state electrical code)
^ e) Parking lot entrances (sign must be in legal zone for lighting and type)
^ f) Distance of sign from right of way
^ g) Existing Signs location & area
^ h) Is sign Lighted? Yes (must meet state electrical code) (sign must be in legal zone for lighting and type)
Fee: $100.00 - $75.00 refundable at time of final inspection and photo of completed sign.
Signature of Applicant:
Note: This document is for application purposes only (the leg~gn permit form must be signed by city officials before sign is approved)
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STATE OF IDAHO
OFFICIAL, SIGl'~ PERIVI.I'I" APPROVAL FORiVI
. FIXED SIGI~A.GE
CITY OF REXBURG
P.O. Box 280
Rexburg, Idaho 83440
(208)39-3020
1 ax (208) 3~9-3022
DATE:/ _ p TIME' p SIGN PERMIT# . S- ''
OWNER NAME: ~ `~
SITE ADDRESS
CITY/STATE/ZIP; ~ ~ ~
TELEPHONE 2
MOBILE _
CONTRACTOR'S NAME T G
'CONTRACTOR'S ADDRESS ~A ,~D, ~~~~ ~// ~~
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MOBILE Z _ ~J
SIGN APPROVAL PROCESS COMPLETE OR PROBLEM AREAS
SIGN REVIEW TO MEET Initials APPROVED
CURRENT SIGN CODE .refer to note for reason('s} for denial DEhlIED
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 & 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
REQUIRED refer to meeting notes attached DENIED
red marks indicate areas needing correction before sign can be approved number marks
notes
Signature Of A
signature to be signed
9y planning & zoning
~r the city clerk after 4
dal ~Bv Citv.' ''
s approved