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APPLICATION - 04-00220 - West Park Apartments - Sign
Date of Application 6 1 Owner Name 4d,&s � Site Address: I V,4 Lv, M CITY OF G P.O. Box ox 280 280 STATE OF IDAHO Rexburg Idaho 83-'40 (208) 359 -3020 APPLICATION FOR SIGN PERMIT Fax (208) 359 -30 FIXED SIGNAGE Y -0 Sign Permit No. S- Z 2 d, Mailing Address: 31 W Z n d -5o City/State /Zip: A v ,ZQ 3 Telephone_ 56 - q 2 66' Mobile: Contractor's Name: ,S)e of Contractor's Address: S' ijuo &a "'1 md2 Contractor's Telephone: 5 i 12 - 5 Mobile: Sign area sq.:ft 3 2- SJ Sign Height (from ground) Sign Descriptions: Fite sl c,, ice, 5 for 4,QCr1 - MfA" For a Sign Permit it is' mandatory that you have the following information: 2 sets of elevation drawings of sign & (plot plans i(applicable) Drawn to a scale with dimensions r And complete construction materials �'� f Y OF Xx Footings if applicable Engineer stamped if required JUN 1 � 2004 FREE STANDING SIGN WALL SIGNS PAID CASH $ ❑ PLOT PLAN TO SCALE SHOWING ❑ A) SQ. FOOTAGE OF WALL (SIGNON CHEC K $ ❑ A) BUILDING LOCATION ❑ B) EXISTING SIGNS & AREA ❑ B) LOT SIZE ❑ C) NEW SIGN & AREA ❑ C) NEW SIG14 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) ❑ F) DISTANCE OF SIGN FROM RIGHT OF WAY ❑ G) EXISTING SIGNS LOCATION & AREA ❑ I) 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 Signature of Applicant: Note: This document is for application purposes only (the legal sign permit form must be signed by city officials before sign is approved) v a5� � 1:1 zr. -L N od v .� z h6��e� Po, t-K ,Z 5oLA,% �1 BYU -I APPROVED HOUSING FOR WOMEN www.westoarkaots.com contracts �Atiailable 656 -9266 © Copyright 2004 Viz- DISCLAIMER 1 understand that this design is intended to be viewed only by the employees of: OK as is OK with changes and &Cdq o� and that the copyright to this design is onned by and will remain so unless assigned elsewhere in writing. Signed: Date: �vv � J1j1 f O I N C O R P O R A T E D Phone: 542 -2656 Fax: 542 -1110 1792 So. Yellowstone Hwy Idaho Falls, ID 83402 e -mail: signworkseida.net APARTMENTS \� � :: gat ,: �. STATE OF IDAHO OFFICIAL SIGN PERMIT APPROVAL FORM FIXED SIGNAG CITY OF R-EXBURG P.O. Box 280 Rexburg, Idaho 83440 (208) 359-3020 Fax (208) 359-3022