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HomeMy WebLinkAboutAPPLICATION & PICS - 07-00085 - Mommy n' Me - Sign• • Sign Permit Application ';� �EXB�RC.� City of Rexburg 12 North Center Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 CITY O F REX CW Americas Family Community Fixed Signage Applicant Information Date of Application: Aayr- t 9-CC Permit Number: Owner Name: Site Address: 0 Mailing Address: 2J 1) 6 , r c) City /State /Zip Telephone: _390 Lk 5 Mobile: Contractor Information Contractor's Name: Contractor's Address: Contractor's Telephone: Sign Information City /State Mobile: w r Sign area sq. ft: C t . (?) Sign Height (from ground): /U - 12 Sign Descriptions: d 1 X - 1(C) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - For a Sign Permit it is mandatory that you have the following information: 2 sets of elevation drawings of a sign & (>Slot plats i abblicable Drawn to scale with dimensions and complete construction materials PAID Footings if applicable Engineer stamped if required MAR 0 1 2007 FREE STANDING SIGN WALL SIGNS ❑ Plot Plan to scale showing: ❑ a) Sq. footage of wall (sign on) �) RF�3tJF�A • 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 done for ligbting 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 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. CLAIM FORM VENDOR # �41&441'�'1 AMERICA'S FAMILY COMMUNITY NAME -Vfdn� a�ntcck_ DATE ADDRESS (Ql FED ID or SS# CITY, STATE, ZIP ?Ch(� (_t TELEPHONE � In - (00Sa DESCRIPTION CODE I AMOUNT 1 APPROVED �A !�__k - CLAIAL OR HIS AGENT SIGN HERE 0 0 11' r - 5l, O,c Z O ®� C> Cl� �V