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ALL DOCS - 08-00071 - Wachovia Financial - Sign
FED -14 -08 THU 9:38 A K SIGN CO 20845119 P.01 Sign Permit Application CRY of Rexburg 12 North Center Phone. 208,359.3020 Rexburg, ID 83440 w ww.mxburg.org Fax: 208.359.3022 s Fr,x tr,�, CITY OF REX.BURG Amr*4bFtlmil Corrbnwilly Fixed Signtage Applicant Information ',, ,r� chov OwmerNsme: _ W Ak -�a V I u. Site llddresa: Se.•i l�ec.�� l �.9�w� S jJC, lot Mailaag Address, City /State /zip: t!4 b,j r 1 f D S3 S -z� 7 y Telephone: Mobile: Contractor Informmation Contractor's Name: k s t Controctor'e 1lddress; I'� I'-t City /State /Zip: Contractor's Telephone• Mobile: Electrical /Specialty COD Mctof Information (For powered or lighted signs) contractor , Name; is, 1C s , f p Contractor's License Number ZS7 " () C:ontractoes Addre '119 I-� n c o ad City /State /Zip: ld a,. ke Fr t( to _ Gonttac:tar'sTelephone: Mobile: ^ Contmcoes Signatuum.. Sign Information Sign area ey, ft. Sign Sign Desegptiom.. _ _ 3 l s. , lr t e Date: (from ground): S , > t S C) s �l P4 'I 0 Sou e , Q� ) D r316G, - v . ------------- r r�� .► � For a ;fin Boren' it is 1pggRdAkza that you hove the following information: Drawn to scale with dimensions and co plst� construct Footings if applicable Engineer stamped if required EREE WALL SIGNS 0 plot Plata to scale showing: A a) Sq - footage of wall (err v g) t7 a) Building location 0 0 Ezisting ns be aged No * b) Lot size d'e) New sign 8t area ❑ c) New sign location AO d) Location of 640 on wan o e ) " slo to sign fivm property linen 1 c) 11, sign lighted? Yee (roast mw flak r�rsrdiue9l mde) 0 e) Parltiaq lot on gnoatee (*x WW-F br in hpl {•var for 4bdq a nd l r) ❑ f) DiatpnCe of sig from right of way ❑ g) M risting Signs location &area ❑ h) Is sign Lighted? Yea (nrr/dl meet .rtdA rkrtriasl Mdf) (sign mAqf be �vvrre fur hp►rg a»d a pe) pee-. x100.00► 375.110 ref t-dal le at dme of final Ingmcdon aind photo of completed sign, *A,n extra 340.00 c6.go win he appued to any powered or ligbted sign. Signature of Applicant-, Not& TNP docurnent it for appLAfion purposes orgy (the teo ride pemvr form mu-k 6e *nV.J by sty of cW, before sits is approved) See Sign "naaee (no. 9118) at wa &,0 X-- bvm,4Y C for reguttaon istfosrssatiust, WAGHOVIA 1 2/14/2006 9:16:47 AM Scale: 1;74.72 Heigh#: 330.408 Length: 716.362 in " m w i i m OD _ c w ro D GJ Z �,l S � n C I � 12' N CD co �N N N r r �0 � I m N CLAIM FORM ( *-Y OF R- EXBUR-G VENDOR # ' AMFRtCNS FAMILY COMMUNITY NAME ADDRESS ��rtEc- CITY, STATE, ZIP -- . 1 �,� rt0 �'.O (7 g� ( i© DATE - 3 z j O z FED ID or SS# TELEPHONE. � l 5 3 S' - a a - 7 y . C[ ATIL44 NT (1R Wl-'Z d!D = Ctr W=0 -