HomeMy WebLinkAboutAPPLICATION & IMAGES - 07-00146 - 1st S & Center Plaza - Sign�o�
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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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America's Family Community
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Fixed Signage r
Applicant Information 4
Date of Application: Permit Number: op ?e ®,3
Owner Name: : flKk tE / s 7 2; ;/ — �J i m (j• 14� rerz s � •�' t/
Site Address: �` 4 iL' c ' 0 e
Mailing Address: ���� /�%1 /��D��4�`' City /State /Zip X�eX �aA
Telephone: 2 �,k - 3 S - 701 of - Mobile: - F, 6 571 - '77 7 2 -
Contractor Information
Contractor's Name: �1C9-+.� ^A—TS )L L V o
Contractor's Address: fQ4AD {�j!� -S City /State /Zip g-344:21
Contractor's Telephone Z— Mobile:
Sign Information
Sign area sq. ft:
Sign Descriptions:
Sign Height (from ground):
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (plot �L"kcable
Drawn to scale with dimensions
and complete construction materials PA'®
Footings if applicable
Engineer stamped if required
LM R 3 0 2007
FREE STANDING SIGN WALL SIGNS
❑ Plot Plan to scale showing: ❑ a) Scl. footage of wa OF R ❑ a) Building location ❑ b) Existing signs & EX UR(
• 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)
o e) Parking lot entrances (sign must be in legal done 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 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 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 #
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REXBUR
` CBE s AMERICA'S FAMILY COMMUNITY
NAME i()I ,
ADDRESS
CITY, STATE, ZIP
DAT
FED ID or SS#
TELEPHONE . �:)'2�j
CLAIMANJ6R HIS AGENT SIGN HERE