HomeMy WebLinkAboutAPPLICATION & IMAGE - 08-00496 - Four Paws Pet Adoptions, Inc - SignPermit Application
Original trr C,, e: TI 1 City of Rexburg
plec
Com "`.. f
l�
aid;: �J � ! 2
f Phone: 208,359.3020
I] ex
r, 1 r TRpy www.rexburg.org Fax: 208.359.3022
rte.,
GTAfll
-City of R@Xburg Neeords ManagemajitWgA
Fixed Signage
Applicant Information
Owner Name: G—, IZZ /' t t/_ /S Pti1 r / %O/JS
Site Address: I / F 15 ', !� l.LI -1 T v
Mailing Address: '05 City /State /Zip:
Telephone: _- —2 5'ig� .39 Mobile: 9
Contractor Information
Contractor's Name:
Contractor's Address: Citv /State /Zip:
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:
Sign Information
Date:
Sign area sq. ft: 1-1 S el e— Sign Height (from ground): .S— 1 ,� , - 4 ,)" _,
Sign Descriptions: I IA) f6 /v ej an', - V Gt d d ✓2_5 S
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sigLi & (blot plats i�abblicable
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
C IT 1 OF
XBURG
......................... " ........................._.I
Ameri axs Family Community
OCT 0 9 2008
FREE STANDING SIGN WALL SIGN
o Plot Plan to scale showing: ❑ a) Sq. footage of wall (sign on)
• 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 .Zone for lighting and type)
• 1) 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 Zone 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.
Signature of Applicant: `. �t' /�. Wit. rZ. Date
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.
Circle Corporation Product
CITY, STATE, ZIP OJ(1 1099 CODE: Normal 1099 Rent
Y
DESCRIPTION CODE AMOUNT APPROV
IPacv�-
6D-e4- 'ot,�, J'D-o - 0 0
�rnc�;��}
�'7 CITY O F
CLAIM FORM
��°
U
>>
�
Z X
VENDOR #
"�
'8
<`sNED
Ow'
m Americas Family Community
6
VENDOR NAME
Puy
Q�I ° UM.c ,
DATE o
2nd LINE NAME
CA, 44 - VvJ
FED ID or SS#
ADDRESS
3 R irY
TELEPHONE 3 S,- 31 /'7
Circle Corporation Product
CITY, STATE, ZIP OJ(1 1099 CODE: Normal 1099 Rent
Y
DESCRIPTION CODE AMOUNT APPROV
IPacv�-
6D-e4- 'ot,�, J'D-o - 0 0
�rnc�;��}
Madison County / City of R—burg GIS
4,
i A
x W�
X
}
Page
+�
WIL
Z �
DISCLAIMER: This map is intended for display purposes only and is not intended for any legal representations.
http: / /gis /intranet/arcims / printable .aspx ?MapUR.L = http: / /agentsmith /output /arcIMSDevel... 10/29/2008