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REXBURG
America's Family Community
PLANNING & ZONING
DEPARTMENT
12 N. Center (PO Box 280) Phone: 208-359-3020 x312
Rexburg, Idaho 83440 Fax: 208-359-3022
vtww.rexburg.org emilva(a~rexburg.orp
Application for Sign Permit
Fixed Signage
Applicant Information
Date of Application: ~ ~-S ~/~ / ,, ` Permit Number:
Owner Name: ~~ ~ ~ lil.~( ~/ (~C l~ /~~zC.~~ C ~~~ ~ ~Od
Site Address: ~ ~ ~ ~ (/U y~
Mailing Address: ~ S' Z t~ (,/' City/State/Zip /`'~ ~(.~ ~,~ ~~~G
Telephone: .~~ ~ - Z Z G ~/ Mobile:
Contractor Information
Contractor's Name: r' ~! ~- ~ .Sl`~~f~
Contractor's Address: !~ '~ "~~j. ;;~v+~•City/State/Zip ~,~ G'~ ~ 1a ~i ?>t`~~-(Q
Contractor's Telephone: ~c~11~ ~ ~d'~,t-( Mobile:
Sign Information. ~
Sign area sq. ft: ~ .x ~ ~ W X Y1 ~ Sign Height (from ground): ~~ ~~" .
Sign Descriptions: •'~~.-~t~ 1~'4~<~11~r11 ~~i~~~~~~~G~t'~.~rC, W~ ~~~?C~" tl(1~;- .-~~C'.C~'lv(~
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For a Sien Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sisn & (plot plats if applicable)
Drawn to scale with dimensions
And complete construction materials
Footings if applicable
Engineer stamped if required
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 o anal ins ection and photo of completed sign.
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Signature of Applicant: '
Note: This document is for application purposes only (the legal sign permit form must be signed by city officials before sign is approved)
ay 09 06 04:46p Steve Daw
208-356-8024 ~'~'-'"-~ rr p.1
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7 FT.
BACKLIT
ACRYLIC
WITH PRINTED
VINYL DECALS
DOUBLE-SIDED
2 FT.
READER BOARD
WfTH
INTERCHANGEABLE
LETTERS
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