HomeMy WebLinkAboutALL DOCS - 10-00405 - Direct Connect - Cancelled Sign Permit Application ,ct ; x r, E
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City . _
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35 North ?st East Phone: 208.359.3020 / k'' a
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
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Fixed Signage
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Applicant Information P
Owner Name: bf,(fre/V1 Paely a r
Site Address: it-0 1/ ' -1 S e . _ ()t ((
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Mailing Address: �� / p: b11Y0� �{� �5'3t U ---
Cite /State Zi J
Telephone: —__- Mobile:
Contractor Information
Contractor's Name: )\ 3 \ O `S
Contractor's Address: City/State/Zip:
� Contractor's Telephone: Mobile: 2-0 1 \r `A`
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: _ Date:
Sign Information
Sign area sq. ft: Sign Height (froni ground): — 411 Red./ ss/ 1 '� (
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Sign Descriptions: S } R 15h t
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Foy a Sign Permit it is man{ ato/3 * t -° 00 have the following information:
2 et�ts of elevation
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drawings of a sign & (plotplats afplicabk)
Drawn to scale with dimensions acid complete construction materials
htlotings if applicable
Engineer stamped if required
F ,E STANDING SIGN WALL 5.IGNS
o Plot Plan to scale showing: 0 a) Sq. footage of wall (sign on)
.❑ a) Building location ❑ b) Existing signs & area
❑ b) Lot size ❑ e) I' ew sign & area
n c) Nev sign location ❑ d) Location of sign on wall
d) Dimensicjns to sign from prt, pert; lines 0 e) Is sign lighted? Yes (must meet state electrical code)
e) Parking lilt entrances Or 'mot Pc in legal tiotre for lighting and type)
f) Distance of sign from right of Nr a�
g) Existing Signs location & area
n h) Is sign Lighted? Yes (must seer ' - .'e�trica/ code) (sign must be in legal done for lighting and type)
Fee: $100,00* - $75.00 refundable at time of final inspection and photo of completed sign.
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An extra $40.00 charge will be applied 1,1 any powered or lighted sign ,
Signature of 0' Applicant: 6' ) IA - J1 2ck loorec Date - l D
Note: "this documLxu is rot q . _ . ;: ; purposes only (the teal sign pe'rni t grin must be,,Aitm, t by city of6oals before sigh is approved)
See Sign (_)rdiudnce (no. 1027) at ww re:,,.hurg.n.it„ for regulation information.
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e ,:lli�:_� 4'4' �._� _ll�:� like permit
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