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APPLICATION - 04-00194 - Club Dance - Sign
a a CITY OF REXBURG P.O. Box 280 STATE OF IDAHO Rexburg Idaho 83440 OFFICIAL SIGN PERMIT APPROVAL FORM (208) 359-3020 Fax (208) 359 -3022 FIXED SIGNAGE DATE: T TIME: SIGN PERMIT# S- 0-A -M 19 OWNER NAME: ' 'r( LIEQ y SITE ADDRESS E E0 S 6uTq Im WES CITY /STATE /ZIP: ( (1 EXQU 6 I .q yc , TELEPHONE MOBILE CONTRACTOR'S NAME T T� LEfZ btrk��j CONTRACTOR'S ADDRESS I Icy u pp r QatG$ I(� TELEPHONE 2,01— 7 MOBILE 20k— U ) ' -7 SIGN APPROVAL PROCESS COMPLETE OR PROBLEM AREAS SIGN REVIEW TO MEET M�� 4� n nitials APPROVED I� E CURRENT SIGN CODE ` refer to notes for reason('s) for denial D DENIED ENGINEER: REVIEW TO MEET I Initials A CURRENT CITY BLD f APPROVED 1/`G fo DENIED PLANNING — initials 7 1C .z� ----- A APPROVED DENIED CONDITIONAL USE PERMIT Y YES i if yes are all conditions met? A APPROVED OR IN NO r refer to meeting notes attached D DENIED red marks indicate areas needing correction before sign can be approved number marks notes : h hi t eweQ ©� r �C F1l lA1 G ltS W G 6 I" Pop-re*Al`r Stcou Muc - ovr S L G - AAA UGL E U ITA ou ?' PCRM,S S 0Aj PALC9M 6WAA S I6N S Op aN ' e<qMa i rrjaAj CF- o wAjaFIL S Apooko I NoT� OF A t) 1T0IV*) -- r1W to ut{ SaGN Ae0.At,c. Pot i t ,18LL S16N c -4' &f t,J t' V 4 LM'4 LL L. L36 S A 1�, 0 r'ro l A j p 46-z' 3 �i it CSe Signa ture , Of Approval B signature to be signed by planning & zoning administrator or the city clerk after 4 categories a, ;t CITY OF REXBURG P.O. Box 280 Rexburg, Idaho 83440 STATE OF IDAHO (208) 359 -3020 APPLICATION FOR SIGN PERMIT Fax (208) 359 -3022 FIXED SIC Date of Application 0S - /2 5 01 Sign Pe 04001 94 CIub Dance Sign Owner Name Site Address: Mailing Address: City /State /Zip: / ' , an - �� 3 7©6 I= D 5?3g Telephone 10 - 1(;,�J Mobile: Contractor's Name: Contractor's Address: Contractor's Telephone: S.-A M-Z Mobile: S h i`tQ1�`C� yJ'J't' Sign area sq. ft Sign Height (from ground) Sign Descriptions: For a Sign Permit it is mandatory that you have the following information: 2 sets of elevation drawings of sign & tp p laps Drawn to a scale with dimensions And complete construction materials Footings if applicable Engineer stamped if required i a UP, 1 OF MAY 2 5 2004 PAID CASH $ ' $ 3 FREE STANDING SIGN WALL SIGNS ZPLOT PLAN TO SCALE SHOWING 9A) SQ. FOOTAGE OF WALL (SIGNoN) /5 X ) BUILDING LOCATION T B) EXISTING SIGNS & AREA N ,, e B) LOT SIZE 7 C) NEW SIGN & AREA UU$ 04,VCf 36, 51 Z C) NEW SIGN LOCATION 9 D) LOCATION OF SIGN ON WALL To CC01Cr Z "D) DIMENSIONS TO SIGN FROM PROPERTY LINES El E) IS SIGN LIGHTED? YES (must meet state electrical code) B PARKING LOT ENTRANCES (sign must be in legal zone for lighting and type) .NO 0 F) DISTANCE OF SIGN FROM RIGHT OF WAY VG) 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. A Signature of Applicant: -110 Note: This document is for application p4poses only (the legal sign Armitform must be signed by city officials before sign is approved) i �nt� ;,te µ 0 n9 IN u .� �.�-�° �� -� °w. l � �_.�. �� } Y