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Home My WebLink AboutAPPLICATIONS & DOCS - 08-00498 - Idaho's Real Estate - Signr Sign Permit Application City of Rexburg 12 North Center Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 CITI 0 F RE America's famio Community Fixed Signage Applicant Informati Owner Name: Site Address: Mailing Address: %0 /Y Lfzi�)60ti IV. City /State /Zip: ICPx 1�_� Telephone: ZOP 3,1E0000 Mobile: Zvi'- 11 3 - - Z613 Contractor Information � tiI Contractor's Name: !'�o(Jl- �cy-P_J Contractor's Address: 3-2.0 1^1 AI T_ U e City /State /Zip: � ✓ ,_ c7 l 4 s Contractor's Telephone: 39 - 0 006 Mobile: -31-3- _4 �3 Electrical/ Specialty Contractor Information (For powered or lighted signs) Contractor's Name: " f L£ Contractor's License Number: Contractor's Address: Ny2 f. y L City /State /Zip: PeXk ho 1YY0 Contractor's Telephone: 31 -.SV66 Mobile: 3 %' »6 b Contractor's Signature: 7rjj 4 ��v - a_IeLplic o _ Date: OCT a ZQOf!i Sign Information Sign area sq. ft: Sign Height (from ground): { a�Ot �` . Fi 7 Sign Descriptions: Zk ZUk¢.. 7 7V e, f7 IF %r , For a Sign Permit it is mandatory that you have the following information: 2 sets of elevation drawings of a sign & (blot -plats z a4blicable Drawn to scale with dimensions and complete construction materials Footings if applicable Engineer stamped if required FREE STANDING SIGN ❑ Plot Plan to scale showing: • a) Building location • b) Lot size • c) New sign location • d) Dimensions to sign from property lines • e) Parking lot entrances • f) Distance of sign from right of way • g) Existing Signs location & area ❑ h) Is sign Lighted? Yes (must meet state ekctr Fee: $100.00* - $75.00 refundable at ' *An extra $40.00 charge will be V d to ar. Signature of A Note: Tt WALL SIGNS ❑ a) Sq. footage of wall (sign on) ❑ b) Existing signs & area ❑ c) New sign & area ❑ d) Location of sign on wall ❑ e) Is sign lighted? Yes (must meet state electrical code) (sign must be in legal .Zone for kgbting and type) Pi must be in legal .Zone for ligbting and type) pectto nd photo of completed sign. or ligh sign. to 12:13 — () � 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. Y5A lolN � l � na . ,,Tr s - Q� wck sr N� t i - 0)6 LoT 'A 1 � NHS AIU41 K1vti PC od �nr� 2 0 2 119 0 0� r 9 Sign Permit Application City of Rexburg 12 North Center Phone: 208.359.3020 Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022 �� r G V y 7 0 AA ' C IT Y O P REXB V G _..._ ____._ OW __....__.__.— AinericcA family (;ammunity> Fixed Signage Applicant Information Owner Name: Site Address: Mailing Address: l0 1 LI )4D0Aj 1),0 City/State /Zip: IC2k/��a, Telephone: _Z6P 30- 00go Mobile: 76F } - -IF6 f3 Contractor Information Contractor's Name: Contractor's Address: '47 T r✓ - e. W City/State /Zip: pe,y C', s Contractor's Telephone: 39 - &)ooG Mobile: -3/J-- Electrical/ Specialty Contractor Information (For powered or lighted signs) Contractor's Name: � N f � t r ^-r Contractor's License Number: & // Contractor's Address: City/State /Zip: Pa W2 :77 a /to �LC� Contractor's Telephone: ")0 Mobile: S %- 266(, ' Contractor's Signature: I b5 �� At-&=e Date: QC T Sign Information Sign area sq, ft: // //// Sign Height (from ground): A O, 3 re, Sign Descriptions: G(1G'k �L!E¢.. �i fy -,,g VF Z-d,-,4v For a Sign Permit it is mandatory that you have the following information: 2 sets of elevation drawings of a sign & (plot latr r ig lrcable ) r Drawn to scale with dimensions and complete construction materials Al do, �/ Footings if applicable Engineer stamped if required � �00 j o f FREE STANDING SIGN WALL SIGNS 11 Plot Plan to scale showing: r ! G1' `( tY ❑ a) Sq. footage • a) Building location ❑ b) Existing sig • b) Lot size El c) New sign' & � - � / , ❑ c) New sign location ❑ d) Location of • d) Dimensions to sign from property lines ❑ e) Is sign light( B • e) Parking lot entrances (si gn must be in legi t� t ❑ f) Distance of sign from right of way ❑ g) Existing Signs location & area KELLER ❑ h) Is sign Lighted? Yes (must meet state electricajradej must be in legal Zone for light -. ' '� • _ .....__..._..._ __.._ $75.00 refundable at . '. e'of'inal ' pecnb Fee: $100.00* - nd photo of coi *An extra $40.00 charge will be aIi" d to any p eyed or ligh sign. f V Signature of Ap �. Date_ Note: This ocument 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. CLAIM FORM. 10 VENDOR # gBXB U8 CITY � O F --r m A N ` V' r °< m� America's Family Community SHED t0 VENDOR NAME [Lnd- DATE 2nd LINE NAME FED ID or SS# ADDRESS �� 1 it S�Y� Dr TELEPHONE Circle CITY, STATE, ZIP W 1099 CODE: 1 / ZO 9 35-b 00-06 Corporation Product Normal 1099 Rent DESCRIPTION 91 RIM I CLAIMANT OR HIS AGENT SIGN HERE