HomeMy WebLinkAboutAPPLICATION - 07-00521 - Ben's Name Brand Shoes - Sign0
Sign Permit Application
City of Rexburg
12 North Center
Rexburg, ID 83440
Applicant Inforn�a�
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Owner Name: �j C /1/,
Site Address: / 6 7 / 1 N
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
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Fixed Signage
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Mailing Address: City/State /Zip: F rA � T 7 V
Telephone: `J ! — 61 Mobile:
Contractor Information
Contractor's Name:
Contractor's Address:
Contractor's Telephone:
Electrical /Specialty Contractor Information (For powered or lighted signs)
Contractor's Name:
Contractor's Address:
Contractor's Telephone:
Contractor's Signature:
Contractor's License Number:
_ City/State /Zip:
Mobile:
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Sign Information
Sign area sq. ft: �(p S t r Sign He' t (f-ni ground):
Sign Descriptions: 7 e- W ,S &vtt A4
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For a Siam Permit it is mandatory that you have the following information: ?, tV
2 sets of elevation drawings of a sign & (blot plats ifapplicablel
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 ❑ 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 mast he in legal Vne 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 erode) (sign mwt be in kpl 2one for lighting and type)
Fee: $100.00* - $75.00 refundable at time of final inspection and photo of completed sign.
*An extra $40.00 charge will
Signature of Applicant:
Note: This document is for application purposes only (the legal sign penrnt 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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Sign Permit Application
City of Rexburg
12 North Center Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
CITY OF
REX
OW
America's Family Community
Fixed Signage
Applicant Information
Date of Application: ) ow" Permit Number:
Owner Name:
Site Address:
Mailing Address:
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City /State /Zip Wy.-
Telephone: ��
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Mobile: 1 2 01? ` 3 C /Q '— D 4-0
Contractor Information
Contractor's Name:
Contractor's Addres
Contractor's Teleph
Sign Informati / n
Sign area sq. ft 6 � T SQL' ! 141f t 1 Sign Height (from ground):
Sign Descriptions:
For a Sign Permit it is mandatory that you have the following information:
V ~ � O
Heo
2 sets of elevation drawings of a sign & (plot plats 6 a4plicable
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 ❑ 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 lighting and type)
Fee: $100.00* - $75.00 refundable at time of final inspection and photo of completed sign.
*An extra $40.00 charge will be applied t powered or lighted sign.
Signature of
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
VENDOR #
NAME
ADDRESS
CITY, STATE, ZIP
Cl* OF
R-EXBUR-G
7 0' AME
DESCRIPTION
ILICNS FAMILY COMMUNITY
DATE
FED ID or SS#
TELEPHON
CODE AMOUNT 1APPROVED
:
CLAI NT OR HIS AGENT SIGN HERE