HomeMy WebLinkAboutAPPLICATION - 08-00333 - Spencer Mauseth - Temp SignMatj 20 2008 12:05PM Dentistry for Children 208- 552 -5440 P.1
Temporary Banner & Promotional Signage �,�`,,`u���. :: _
Permit Application - REX BL7RG
12 Narth Center Phone: 208.359.307Q Win; :• ::..; .'vrac ;.,rnr.:.ei:;
Rexburg, 10 8.1x40 www.rmbpvrq.org Fax: 208.359.3027.
12 1 �� (60 Day Permit)
Dace of Application: _ Permit l jimber:
Owncr Nalme. 0 a Lis I
Site Address:
MaiIingAddrrcg- /State /'Lip 3
Telcphonc: 6 1 !� 7- 3 _ Mobile- 7 " 7
For a lmj rare 60 Day S�'�*n Permit please indicate the following infoLimtionr
Sol uxc:a Sq_ ft: _ , � _ Sign Height (from ground} -
Si
gn Iocidon :
Date sign wilt be mmoved: T _
Attach picture of sign if available:
SiPature of Applicant:
See Sign Ordinance (no. 908) at www.rexburs*.org for regulation iafarmatiorL
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Madison Pediatric Dentistry
Spencer Mauseth, D.D.S.
Board Certified Pediatric Dentist
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Adolescents y � � "` � �5�"...F Needs
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