HomeMy WebLinkAboutAPPLICATION - ALL DOCS - 08-00371 - State Farm Insurance - SignSign 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 \
Owner N.;-. 0 .w, O-V! - U-8—p- r
Site Address: — 37 (p W 4 4' S bt p
Mailing Address: 5 a w. c City/State /Zip: G1Y -�/Jt. jcq , t D b 3 4 d
Telephone: a'ZD $'- ( S G - b 9 y Mobile: a 0 g S (#V - 9 g U
Contractor Information
Contractor's Name: )Se bbl &u-oUer
Contractor's Address: -� Z S ?.C"- I City/State /Zip: 1?0 C -CA-VC 0 ► D g 3 a0 �
Contractor's Telephone: A 1 b 7& Mobile: A5 7 - q/ 3 /
Electrical/ Specialty Contractor Information (For powered or lighted signs) IVVP%c
Contractor's Name:
Contractor's Address:
Contractor's Telephone:
Contractor's Signature:
Sign Information
Date:
Sign area sq. ft: Sign Height (from ground): 1 /
Sign Descriptions: S�?'e �O�+c,rY1 I'O.�nnw�v N%Jer (o s6 'by y 4 - P/ou rly7�y�a t � KULt
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Fora Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sigh & (plot plats ifab�ilicable
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN WALL SIGNS
1 rPlot Plan to scale showing: ❑ a) Sq. footage of wall (sign on)
Ell) Building location ❑ b) Existing signs & area
at) Lot size ❑ c) New sign & area
r?'c) New sign location ❑ d) Location of sign on wall
dd) Dimensions to sign from property lines ❑ e) Is sign lighted? Yes (must meet state electrical code)
o%) Parking lot entrances (sign must be in legal Zone for ligbting and type)
&I) Distance of sign from right of way
dg) Existing Signs location & area
,410 ❑ 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 photo of completed sign.
*An extra $40.00 charge will be applie any po�relig d sign.
Signature of Applic /��
Contractor's License Number:
City/State /Zip:
Mobile:
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 www.rexburg.org for regulation information.
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