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APPLICATION - 07-00614 - Custom Graphics - Sign
Sign Permit Application City of Rexburg 12 North Center Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 O� g6XBURC l 5 O CITY OF REX c4v America's Family Community Fixed Signage Applicant Information Date of Application: �� ' /I - 0 7 Permit Number: Owner Name: i` 19 "S `t} & P3h rSO,`J - V - Site Address: 3 Z $ IQ LAJ § E p Mailing Address: CEO 1 T u l S City /State /Zip tq r �'1f D S` e1 Telephone: 6 8 / 10- Mobile: Contractor Information Contractor's Name: Contractor's Address: ff City /State /Zip ex,&) r°I Contractor's Telephone: " 3 C� a` Mobile: Sign Information 2 Sign area sq. ft: ��J�/ /� Sign Height (from ground): - 1 7 Sign Descriptions: _ / : 7 - / d - rV `roy r For a Sign Permit it is mandatory that you have the following information: 2 sets of elevation drawings of a sign & (plot plats i abDlicable . Drawn to scale with dimensions and complete construction materials j Footings if applicable Engineer stamped if required DEC 1 1 2007 FREE STANDING SIGN ❑ Plot Plan to scale showing: o a) Building location ❑ b), size New sign location • d) Dimensions to sign from property lines • e) Parking lot entrances ❑ f Distance of sign from right of way o g) Existing Signs location & area ❑ h) Is sign Lighted? Yes (must meet stItee ectr Fee: $100.00 - $75.00 refundable at e� Sign ature of Applicant: WALL SIGNS Q 1 ► OF • a) Sq. footage of wall (sign on) • b) Existing signs & area • c) New sign & area • d) Location of sign on wall ❑ e) Is sign lighted? Yes (must meet state electrical code) (sign must be in legal -one for lighting and type) (sign #�st be in legal on tg and sign. Note: This document is for applica n ses only (the legal sign pe y city officials before sign is approved) See Sign r ce (no. 908) at www.rexburg.org for regulation information. Ah CLAIM FORM crR of R-EXBUR,G VENDOR # �'q8a'� AMERICA FAMILY COMMUNITY NAME K V�s a- ADDRESS (�(� CITY, STATE, ZIP DATE / 2 S��09 FED ID or SS# TELEPHONE . ( O 8 / — ` ©,3 ) (1 IlfNfAPJT ()R "I-q Ar';=NT RlrAl UP= -