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APPLICATION - 08-00259 - Pureclean - Temp Sign
Temporary Banner & Promotional Signage Permit Application 12 North Center Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 ` tl.�bt:ry v 4 i T Z 0 t l4 y REX America's Famih iornmunit , (60 Day Permit) Date of Application: 3 ©r Z� Permit Number: ; Owner Name: PUS EC �E/� -r•� , 5 Site Address: Mailing Address: -0 6 D 3 ( City /State /Zip / ? - 8 v �� .l= D g 3 LIq 6 Telephone: 2 o K- q0 3- g 9 q y Mobile: '?-,56- For a Temporary 60 Day Sign Permit please indicate the following information: n Sign area sq. ft: 3 a Sign Het ht (from ground): Sign location: S ! 6t t?f - 2 y�. % j � C�� p�,� 5�er'� Sign Description: �liT C�� Sid l Date sign will be removed: " D ' �1 t' 5't Attach picture of sign if available: Signature of A See Sign Ordi .on information.