HomeMy WebLinkAboutAPPLICATION - 06-00610 - Budget Blinds - Sign0
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F.M. RiWffi)
AMIER"S FAM lLY COMMUNf1V 19 E. Main (PO Box 280) Phone: 208 - 359 - 3020 x2
Rexburg, Idaho 83440 Fax: 208 -359 -3024
www.rexbura.or4 comdevOrexburgmor4
Application for Sign Permit`
Fixed Signage�
Applicant Information C 171 Y OF
Date of Application: De I "Z ow & Permit Number: RG
Owner Name: f3.,t L h (-c)/C_
Site Address: '? S S yc /� ),, PC
Mailing Address: ,.., City /State /Zip /2��6k - , �p 83 yXa
Telephone: jO 9' - 0 po7 Mobile:
Contractor Information
Contractor's Name:
Contractor's Address:
City /State /Zip
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Contractor's Telephone:
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Mobile: -5s,9-
Sign Information
Sign area sq. ft: Sign Height (from ground): c,
Sign Descriptions: 1,4 ------------------------------ - - - - --
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (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: Iffi a) Sq. footage of wall (sign on)
• a) Building location Q b) Existing signs & area
• b) Lot size W c) New sign & area
• c) New sign location qr d) Location of sign on wall
• d) Dimensions to sign from property lines 10 e) Is sign lighted? Yes (must meet state electrical code)
• e) Parking lot entrances (sign must be in legal zone for lighting and type)
• t) 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 nnly (the legal sign permit form mnct he signed by city nffirialc hefore cign is approved)
C I# OF
CLAM FORM R- jl
AMER.[CXS FAMILY COMMUNITY
VENDOR # [fgE1Et
NAME
Art
ADDRESS
CITY, STATE, ZIP
DATE / o b t.
FED ID or SS# .1
TELEPHONE. VZ ~ 11 * I ( 0
CLAIMANT O AGENT SIGN HERE
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