HomeMy WebLinkAboutALL DOCS - 08-00569 - Cedars - Sign0 40
PERMANENT D N rmit
Origination Date: Q
Comple io&Q r: _ 0
Re�PboLNM DES'T'R Y,- rexburg.org
Application
City of Rexburg
Phone: 208.359.3020
Fax: 208.359.3022
C IT Y OF
RM RG
America's Family Goy nrnf ar y
LOCAL STATE
STORAGE ❑ ARCHIVES
-City of Rexburg Records Management -
Applicant Information
Owner Name
Site Address:
Fixed Signage
MailingAddress: /. / City/State /Zip: ,A�/�, , / z a
Telephone: S S/0 ' (0 1 ` ( 2- W2vk. Mobile:
Contractor Information
Contractor's Name:
V �
Contractor's Address: ��{��, ,Q�'� � City /State /Zip: _ z �
Contractor's Telephone6 2 �� Mobile: 60 6) -
Electrical/ Specialty Contractor Information (For powered or lighted signs)
Contractor's Name:
Contractor's Address:
Contractor's License Number:
City/Stat"ip:
Contractor's Telephone: f Mobile:
Contractor's Signature:
Sign Information
Date:
Sign area sq. ft: Sign Height (from ground):
Sign Descriptions: ( F <,-- e i r �� �,�`i 7 -
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (plot i ats ifatplicable
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN WALL SIGNS
❑ Plot Plan to scale showing: ❑ a) Sq. footage of wall (sign on)
• a) Building location ❑ b) Existing signs & area
• b) Lot size o c) New sign & area
• c) New sign location o d) Location of sign on wall
• d) Dimensions to sign from property lines o e) Is sign lighted? Yes (must meet state electrical code)
• e) Parking lot entrances (sign must be in legal Zone for lighting and ape)
1:10 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 ins n and photo of completed sign.
*An extra ,$40.00 charge will be applied_to;-J powpfCd.r lijzhtr4.9 n.
Signature of Ap
Note: This
'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 infomtation.
� Y.Il.I_LLI_.�j
The copyright to this design is owned by SIGN -A -RAMA and may not be reproduced
in any way without written consent from SIGN -A -RAMA.
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This is a copy of your print job EXACTLY as it will be printed, built and /or installed including position
of all items. ANY ERRORS not corrected at this time will be corrected only at your expense.
PLEASE READ THIS PROOF CAREFULLYAND NOTE ANY
CHANGES OR CORRECTIONS DIRECTLY ON THE COPY!
❑ Proof is correct and I authorize the printing or building.
❑ Make the indicated corrections, then print or build.
❑ Make indicated corrections, then send another proof.
1 have read this proof and noted corrections. I understand that by signing below, l accept full
responsibility for any costs involved in reprinting due to errors not found at this time.
Customer Signature Date
92.04 in— _
54.21 in
CLAIM FORM
7
VENDOR #
� �xs uR�
CITY OF
° REXBURG
1
3
B SHED E D Americas Family Community
9 (r ' 0 9
VENDOR NAME A ' DATE
2nd LINE NAME 4 FED ID or SS#
ADDRESS TELEPHONE
Circle
CITY, STATE, ZIP 1� � 1099 CODE:
13 0
Corporation Product
Normal 1099 Rent
DESCRIPTION CODE AMOUNT APPROVED
1t�im c 5 �osb S- ° - oo 25t 00
CLAIMANT OR HIS AGENT SIGN HERE