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Sign Permit Application K` " {
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City of Rexburg REXBUR
12 North Center li Phone: 208.359.3020 a,r..i �«"Ei,• c.,,,,,,,,,,�
Rexburg, ID 83440 www.rexburg.org Fax. 208.359.3022
Applicant Information
Owner Name
Site Address:
Mailing Addro
Telephone:
Fixed Signage
Contractor Information
Contractor's Name: w
Contractor's Addxess: ^^ C �� 1t�1 City /State /Zip: LO!%
Contractor's Telephone: O �� W0 ^ J3 ! — 4 y Mobile:
Electrical /Specialty Contractor Information (For powered or lighted signs)
Contractor's Name: Contractor's License Number.
Contractor's Address:
Contractor's Telephone:
Contractor's Signature:
City /State /Zip:
Mobile:
Date:
Sign Information 22
Sign area sq. ft: — 3 0 Sign Height (from ground):
Sign Descriptions: Wal
For a Sign Permit it is mandatory that you have the following information: y'
2 sets of elevation drawing of a sign & (blot plats if licable
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN
❑ Plot Plan to scale showing.
• a) Building location
• b) Lot size
• c) New sign location
• d) Dimensions to sign from property lines
• e) Parking lot entrances
❑ f) Distance of sign from right of way
❑ g) Existing Signs location & area
❑ h) Is sign Lighted? Yes (must meet state electrical
Fee: $100.00* - $75.00 refundable at time of 1
*An extra $40.00 charge will be �,jSptledp any
Signature of Applicant:
WALL SIGNS
❑ 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 Zone for lighting and type)
Pi must be in legal Zone for lighting and type)
pection and photo of completed sign.
or lizhteA- sv�
Ir
Note: This documentyfor application,�poses 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.
Date: <1 /3/08
Sign Project for: T` -)a Bean (20 College Ave.)
Sq. Footage of wall: +'M q. feet 11-01;
Sq. Footage of Sign: -q. Feet
Existing sign: ..)ne
Is Sign Illuminated: No
24'
10'
38" 5'3"
SIGNS BAN NERS GRAPHICS STATIONERY J
•
Date: 2/3/08
Sign Project for: The Cocoa Bean (20 College Ave.)
SIDE PROFILE TO DEMONSTRATE MOUNTING PROCEDURE
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2 (V angle) mounting brackets mounted to sign
and adjusted to angle of face of building to
sit straight, then clamped for security.
Adjustable Clamp.
Alumalite Sign with printed Graphics
asteners
CLAIM FORM
Cl 0 1Y OF
P*.,..-EXBUP
VENDOR # QB�,�w AMEPJCXS FAMILY COMMUNITY
NAME
ADDRESS b
CITY, STATE, ZIP
DATE I �r
FED ID or SS#
TELEPHONE . _ 33 q - 6 3 7
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