HomeMy WebLinkAboutAPPLICATION - 07-00624 - Sound Security - SignDec. 13. 2006 4:29 °M
Sign Permit Application
City of Rexburg
12 NORh Center Phone: 20&359 3020
Rexbula 0 83440 www.rexburg.org Fox 208.359.3022
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Applicant Informlation
Date of Application: __ - G - 0 7
Owner Name.
Fixed Signage
Permit Number.
Site Address: / yO f� �oc �,; (/e-
MailirngAddress: City/State /2aP___�__
Telepinoae Mobile: 7"S 7 - 1,q
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Contractor Information
Ctmt:actor'c Name: S - 6. �. -- J `, J
Contractor's Address: Y L lam.
City/ State /Zip �c4 4 Z—�� 3%e /
Contractor's Telephon S z- - 3 - 7YY 6 Mobile:
Sign Information
Sign arcs sq. ft•. 3 X -L �ZS� Sign Hght (from ground): v
Sign Description: c(z, . �
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Fora ftUZ KI3h it is UUMASUM that you have the following information:
Z sets of elevation umdup ..f a sign & (afithigo it-> 1R1
Drawn to scale with dimeoal ms
and complew construction materials
Footings if applicable "+
H
Bngacer stamped if required
C3 PldfPkn to eca owing a s) Sq. footage ofwaQ (rigx air)
M a) Building location ❑ b) Fadating signs do arcs
❑ b) Lot size O c) New sign & ates
0 c) New sign Location ❑ d) Location of aign on wall
❑ d) Dimensions to sign fmm ptopeM lines o e) h sign lighted) Yes (sneer anal stak rkA*0j adr)
C) Parking lot enttancee ( be is Arl vWfor Vm'18 Wd - V s )
❑ 4 Distance of sign from tigbt of way
G 9) Emoting Sighs location & area
n h) I• rig„ Lighted? Yea (,e wt,lrttr rraa :frafrt°cat ndel (qgn assn br is kVlVtl+Ior (jghlia(g sad rypr)
Pee: $100.00 + - V75.00 tetundab]e at dude of final irmpectloa sad phogo of eompkwd algn.
*An extra $0-00 cbarse WM he applit d to fury powered of lighted sign,
Signatw:e of Applicant: -,._.
Notes This aocumunt i. F
See
1 �( peter 9* (thc k5d rig► Pamir klm anal be signed by city &r,,,b brf,, sign is aMmmtl
Uadinanta (A*. 900 YgvwML th for regulation iufoematioo.
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Quan. 2
Wall space where sign is going
is 8'x 20 '
NON LIT LETTERING AND LOGO FOR WALL
CV OF
CLAIM FORM -
R- EXBUR- G
VENDOR # -�8� � AMERLICA'S FAMILY COMMUNITY
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NAME DATE 0 1I
ADDRESS o2 3 -/ Al . t( J &i & 7 FED ID or SS#
CITY, STATE, ZIP f��lr�p 1 Si'3` 0 TELEPHONE
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