HomeMy WebLinkAboutAPPLICATIONS - 08-00299 - Idaho Eye Clinic - Signgn Permit Application
City of Rexburg
12 North Center Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
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Fixed Signage
Applicant Information f LiN .-
Owner Name: I b k Id EYE
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Site Address: H41 F 1Ls T Aiv.ER�LA C�C�s -�
Mailing Address:
Telephone:
Contractor Information
City/State /Zip:
Mobile:
Contractor's Name: Q IvMo Q b 'Qu I L DEfZS - v 1 Lk Cp L.]TtN 1
Contractor's Address: P, O. %OY- l R l N City/State /Zip: 111 Alto
Contractor's Telephone: &0 - 52`/- !'a Z2- Mobile: 4 /3 S' - 21 3 - S i I - r
Electrical/ Specialty Contractor Information (For powered or lighted signs)
Contractor's Name: Contractor's License Number:
Contractor's Address:
City/State /Zip:
Contractor's Telephone: Mobile:
Contractor's Signature: "/[' Date:
Sign Information
Sign area sq. ft: SO S Q F Sign Height (from ground): 1 O - (o
Sign Descriptions: A TTl CH E IN
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (blot -plats i ab cable
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN WALL SIGNS
❑ Plot Plan to scale showing: ❑ a) Sq. footage of wall (sign on)
• a) Building location ❑ b) Existing signs & area
• b) Lot size ❑ c) New sign & area
• c) New sign location ❑ d) Location of sign on wall
• d) Dimensions to sign from property lines ❑ e) Is sign lighted? Yes (must meet state electrical code)
• e) Parking lot entrances (sign must be in legal done for lighting and type)
❑ f) Distance of sign from right of way
❑ g) Existing Signs location & area
❑ h) Is sign Lighted? Yes (must meet state electrical code) (sign must be in legal done for lighting and type)
Fee: $100.00* - $75.00 refundable at time of final inspection and photo of completed sign.
*An extra $40.00 charge will be applied to any powered or lighted sign.
Signature of Applicant:
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Note: This document is for application purposes only (the legal sign permit form must be signed by city officials before sign is approved)
See Sign Ordinance (no. 908) at a . " ,rcxi7x ra_= et for regulation information.
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