HomeMy WebLinkAboutAPPLICATION - 08-00489 - Broulim's - Temp SignOCT -07 -2008 13:09 BROULIM'S REXBURG 208 356 4652 P.01i01
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Sign Permit Application
City of Rexburg
12 North Center Phone: 208.359.3020
Rexburg, 0 83440 www.rexburg.org Fox: 208.359,3022
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Temporary Signage
Applicant Information
Date of ;Application, l V -
Owner Name: _ X L'.�iL
Number:
Site Address: - 1 Z.
Mailing Address: YZ4 (.A-) . IMQAO ' EN). city /State /Zip
Telephone — -a ).r -41Q Mobile: - 2-7 'f
Contractor Information
Contractor's Name:
Conunctor's :Address:
City /State /zip - -- -
Cunuactor's Telephone: Mobile:
Sign Information
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Sign area sq, ft: -x O 3 KIW , Sign Height (ftom ground); ..,_.... .........
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Sign Descriptions: t — _,__ - - - -,
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Date sign will be retnoved:
cur a Sign Permit it is manda tory that you have the following information:
2 sets of elevation dtawings of a sign & (plot pluir if�fifilicahlr
Drawn to scale with•dimcnsions
And complete construction materials
Ftx)tings if applicable
Engineer stamped if required
TEM P.Q RUY
EME STANDING KQ
C3 Plot Plan to scale shoving:
C3 a) Building location
o b) Lot size
a c) New sign location
o d) Dimensions to sign from property lines
n e ) Puking lot entrances
U A Distance of sign from right of way
• g) Existing Signs location & area
• h) Is sign Lighted? Yes (must mew ttUrfe{ttilYpe4l cn ) NO
Signature of Applicant:
Nute:'Ihi,% dmumatthi for applicatilln rklglc
See Sign ordinance
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WA ANN SIGNS
.02) Sq. footage o wall (,ikn an)
L] b E-xisEing sign & area :'...
L3 c) New sign & area
at;d) Location of sign on wall C W Rnrn
❑ e) Is sign lighted P Yes (must meel;tate el rdrru! en de)
(ai n punt be in kKal
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Gt /ern! i�n�,f'r li�hring rrRd type)
must be signed by city ofki6iMs befoct sign ii ljrjYr(Jcirci)
t far regu in
TOTAL P.01