HomeMy WebLinkAboutAPPLICATION - 08-00468 - American Family Insurance - Sign0
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ermit Application C 1 1 Y 0 F
PERMANENT DOCU
Origination Date: q 12- (0 City of Rexburg REXBURG
cornple�idjjcDBffenle, k Phone: 208.359.3020 Amrrica's Faynity (.
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r) ww.rexburg.org Fax: 208.359.3022
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l LOCAL E] STATE
LOCAL ARCHIVES Fixed Signage
,S Records Manage rrTnt-
Applicant n
Owner Name: Z1 CI&
Site Address:
Mailing Address: City/State/Zip:- AX4-W-4
Telephone: o"208 Mobile:
Contractor Information
Contractor's Name:
Contractor's Address: City/State/Zip: xv <8 - 3 I've
Contractor's Telephone: Mobile:
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: Si Height (from ground):
Sign Descriptions: AL4�1,ram is V j4,Sk4a,"Ce-
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For a Sign Permi it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (bl plats z44t,
Drawn to scale with dimensions and complete construction materials uksh tx�
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN W4LL SIGNS
❑ Plot Plan to scale showing: W"a) Sq. footage of wall (sign on)
• a) Budding location oW Existing signs & area
❑ b) Lot size Be c New sign & area
❑ c) New sign location Location of sign on wall S.,Y
❑ d) Dimensions to sign from property lines Is sign lighted? Ces),must meet state electrical code)_
❑ e) Parking lot entrances (sign must be in legal tione for lighting and type)
❑ Q Distance of sign from right of way
❑ g) Existing Signs location & area
❑ h) I s sign Lighted? Yes (must meet state electrical code) (sign m ust b in legal d one li ghti ng and type) SEP 2 6 2008
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Fee: $100.00* - $75.00 refundable at time of final inspection and photo of completed sign.
any pow ed r igh 7 -
*An extra $40.00 charge will be applied to a hted sign. 7 – e
Signature of Applicant: Date
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Note: This documen application purposes onl (the legal sign permit form must be signed b city officials before sign is approved)
See Sign Ordinance (no. 908) at www.rexburg.org for regulation information.
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CLAIM FORM �, ° r C IT Y O r
REXBURG
VENDOR # � nv
get a a e n eg' America's Family Community
VENDOR NAME DATE ' 3 1 1 Y a
2nd LINE NAME FED ID or SS#
ADDRESS y N 2.nkC, - itZ /d ( TELEPHONE
Circle
CITY, STATE, ZIP 6-16.6t� Q 1099 CODE:
313 -s6z3
Corporation Product
Normal 1099 Rent
DESCRIPTION CODE AMOUNT JAPPROVED
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CLAIMANT Olk HIS AGENT SIGN HERE