HomeMy WebLinkAboutMULTI DOCS - 06-00618 - Citizens Community Bank - Sign# f
Sign Permit Application
City of Rexburg
12 North Center Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
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CITY OF
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Americas Family Community
Fixed Signage
Applicant Information
Date of Application:
Permit Number:
Owner Name: Ct >`� 2 1= JV GO M ivt C, -1 t Y
Site Address Z, `` /.'_:'
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Mailing Address: W "r- i'f7 �" City /State /Zip �.�%y� - u iC't;.
Telephone: ;q 3 a l - & 7 L / () Mobile:
Contractor Information
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Contractor's Name: �Y .2 F 5-r � i i
Contractor's Address:
Contractor's Telephone: - R:
Sign Information
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Mobile
Sign area sq. ft: Polt 4'ra «, t.. Sign Height (from ground): f4j iW
Sign Descriptions: P e, mot• • r��.
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For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (17lot p is if qW icable)
Drawn to scale with dimensions
and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN WALL SIGNS
X Plot Plan to scale showing: ❑ a) Sq. footage of wall (sign on)
ma) Building location ❑ b) Existing signs & area
p b) Lot size ❑ c) New sign & area
ff 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? Y.es (m ust meet state electrical code) (sign must be in legal done for lighting and type)
Fee: $100.00 - $75.00 refundable at time of final inspection 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)
See Sign Ordinance (no. 908) at www.rexburg.org for regulation information.
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CLAIM FORM
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VENDOR # 4g�ES�tE� AMERICA'S FAMILY COMMUNITY
NAME
ADDRESS
CITY, STATE, ZIP
DESCRIPTION
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DATE
FED ID or SS#
TELEPHONE . �o�J %�4
CODE AMOUNT 1 APPROVED
CLAIMANT 01'�HIS AGENT SIGN HERE
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y REXBURG
Americas Family Community
SIGN PERMIT
City of Rexburg
Department of Community Development
19 E. Main St. / Rexburg, ID. 83440
Phone (208) 359 -3020 / Fax (208) 359 -3022
Project Information
Permit # 0600618
Permit Type Sign Permit
Project Name Citizens Community Bank Sign
Site Address 452 N 2ND E
Parcel # RPRXBCA0203321
Project Description
Citizens Community Bank Sign
Names Associated with this Project
Type Name Contact
Phone # License # Exp Date
Fee Information
Project Valuation
Sign Deposit 75.00
Sign Permit 25.00
Total Fees Paid $100.00
Conditions
1. Height can be no greater than 24'
** *SEE ATTACHED CONDITIONS * **
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Print Name ULL
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Date Issued:
Signature W. I RAU Date
I 2 W GO Issued By:
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