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HomeMy WebLinkAboutAPPLICATION - 06-00523 - KFC - SignSign Permit Application City of Rexburg 12 North Center Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 OF gEXB V U S' „ 0 - - CITY OF REX r� Americas Family Community Applicant Information Fixed Signage 01 Date of Application: / 0 2 , T Z0 L Permit Number: Owner Name: Site Address: SIB /K/ Mailing Address: City /State /Zip O —ZY aB37 Telephone: _ Z g � — Mobile: Contractor Information Contractor's Name: 5 W "W -S r I t-j L Contractor's Address: 1 7-1 $. �e64 4- 87--- City/State/Zip 1 4. , • V;t& S I D 83 t/ o2- Contractor's Telephone: Z°$ - T4z - 2 4 S'6 Mobile: ZO8 6 %1 S/y Sign Information S t (.,— Sign area sq. ft: - X / 0 ` =6 0 Sign Height (from ground): j 4 Sign Descriptions: _ V /k! l i f GtJ ylir— For a Sign Permit it is mandatory that you have the following information: 2 sets of elevation drawings of a sign & (plot plats �LqW cable 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 )Kb) Existing signs & area ❑ b) Lot size grc) 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 njn6o�,tmalXspectign a pt(� 1!0)ti o of completed sign. Signature of Applicant: Note: This document 4-for application purposes only (the legal sign permit form must be signed by city officials before sign is approved) See Sign Ordinance (no. 908) at www.rexbwg.org for regulation information. 0 CLAIM FORM Cl* of P*,.-E XBUR-G VENDOR # �? Qs�° AMERICA'S FAMILY COMM(. LAITY NAME ADDRESS CITY, STATE, ZIP DESCRIPTION _Tumor' 6 LO DATE �Z FED ID or SS# TELEPHONE._ ����((� CODE I AMOUNT APPRovEr) 21 IT � I I CLAIMANT OR HIS AGENT SIGN HERE ZAP - x n c w i v i cZi s ]Yd I a 6' 4 0 P V• W N A \: a A (P A t W CJi N O� fie¢ e�q m 3 '- 0 m T o fi 8 9 j_' v c § ' mo $ o - 9 X m� r r n Z7 G aag N 4 If :30 C:) M Iv r n m R W . C c " T y ) A I V t °Y N FF�� A S I zm 3 m S 1