HomeMy WebLinkAboutALL DOCS - 08-00448 - Connie Povey Realtor - Signa 0
Sign Permit Application 1� K�aB °R� C 1 T Y OF
City of Rexburg "Q �� REXBURG
12 North Center Phone: 208.359.3020 Americds Family Conununity
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
Applicant Information
Owner Name:
Site Address:
Fixed Signage
ieY1A
Mailing Address: Q?6y1 /—', �e"J s - b2 AIR City/State /Zip: 6a, ,A O m q ID7
Telephone: c9QS (,p A — T 6 na Mobile: 3 i '
Contractor Information
Contractorl��
Contractor's Address: _ City/State /Zip:
Contractor's Telephon Mo bile:
Electrical/ Specialty Contractor Information (For powered or lighted signs)
Contractor's Na e: Contractor's License Number:
Contractor's Address: City/State /Zip:
Contractor's Telephone: obile:
Contractor's Signature: Date:
Sign Information
Sign area sq. ft: /07o %a / .tl & Sign Height (from ground):
Sign Descriptions: ZZ � Zr 41V
-- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
For a Sign Permit it is mandatory that you have the following information: m
A "
2 sets of elevation drawings of a sign & (blatplats applicable
Drawn to scale with dimensions and complete construction materials' �Q��
Footings if applicable
Engineer stamped if required
l"'S"T"( 3 ^,
FREE STANDING SIGN WALL SIGNS
❑ Plot Plan to scale showing: ❑ a) Sq. footage of wall (sign on) 1 � lP•(
❑ 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. Q
Signature of Applicant: Date
Note: This document is for application purposes only (the legal s' ermit form must be signed by city officials before sign is approved)
See Sign Ordinance (no. 908) at www.rexburg.org for regulation information.
i
� 0
�� f ✓�
j No - RFA�.T��
c oNNo
() D5) 3 i7 -ai9�
•
CLAIM FORM
A*
VENDOR #
O g USG
�4 1d
U
O
� l
9 .
0
S H E D
C1 T Y O F
REX
America's Family Community
VENDOR NAME 0 1--ho nie- 'Vo u � DATE
2nd LINE NAME FED ID or SS#
ADDRESS g Ye-U vx - CTELEPHONE
Circle
CITY, STATE, ZIPS 1099 CODE:
164 F/0 �
6aq
Corporation Product
Normal 1099 Rent
DESCRI PTION
CODE
AMOUNT
APPROVED
` 09
oo-
.PA ,
a �