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HomeMy WebLinkAboutALL DOCS - 12-00467 - 179 S 2nd W - Deseret Book - SignApp[cant ftfilufiifbrlud r r Owner Name: Site Address: Fixed Slgnage lMailingAddress: ?.o. 6.v-Tefephone: .roy - BSl,.q"r,- Contractor lnformatlon Contracto/s Name: Contracto/s Address: Contractor's phone:Mobile: Gontracorrs Slgnature:Mobile:70l- S[n Infiormatlon Sign Area sg. ft: Date: x.i160 -ot? City/State2tp: :::::Lff1!^p:rraetor Infiormatton {For powered or righted sisns)Contrastor Informatlon "ru*Contractoy's Name: K F:*a'.-\ Contractol,s Address: Contractorrs phone:City/State/Zip: 1. 2. 3. 4. :Setr1f etsv.adon drawfngs of astgn &bW dm tf o@ttablclDrawn to scaleh'lth dtmenslonrs ano*mptGEiffi, materiatsFootings if apdkrblc Engin€er $dnped F requfed rRrEr,4ID|qFSrcil wA|rsFi6EIPI-OT PLAil TO SCALE s}IOWING - n{suprioioc^ilor{ tr r)sq FoorA6EoFwAtt{s'nroCI trBltorslzE N E 8)o(FnilGslcNs&AREA trctttEwsrcnLocATroN f,l c'ilEWgGN&AR€A a ol uue*soils io srex rnoru pRopERry uNEs F ii,!Hffii,lirt#y3i#;* sto* c*dd ce)tr€) PAnKilc l.0T ENTnAJ{CES ,(stgn nust Oe ii igol zonclq tflhtng and typc)E F) D|SIANCE OF Stcr{ FROM RTGHT OF WAytrG) O0snilc sreils rccATtor{ & ARFA 701 - 5l? groundl: [\\* \ itln;ffiForalh&!itisffi lnformation:alL/ *, rr#i3f;trffiffittr:'ff:;*g.g,-tt, r:o:yy.*.,: tcsor toae tor,tshttns and rype)1 1{ Tf""*t.na pmo o|o,rpla.o rtc,:'An extra S6s.q) cna76-wfr oe appi'"d il;-",/g4#; lrdrted sgn. Signature of Appf icant:Date: 7-._-Note: thlg &crment is for aDdtcaiion pfffi:IrSrH1:jTfy::I'-1::*1TT by cfty ofiicreb before s8n is .pproraedts.. s[n orttlmc 10lt at www.rexburs.ors r* ,"g"r"u""ii.#,iL] ForOfficeUscOnty: 2n/t1 Rcceiptcotu: (Rcgutar) I7 pz-f2s.oo t I pzsD*lzJ.00 (FmElccricat Add) t J ELEc=$,CI.00 l'{ \\t f-q--+ !=:li:i* ca,oia:3':$ N ,$ .qr3..r:3I =Et3DE E?otof3o $a !CL 5toI o T :gi 6i.. qE ro! :5Ft.i.si* !f-l t$r 9F; $ii =:o5S $a 5qro.d8rttmlc,F6.3 ;lf Fi ct63 *g tBglo.3lQ.j E3. 6I= 5d mo D38 5& ll 6'Iggt r$3$rg368tg*gt$ Eild 3cltrq3:p3 ilEo!t 6 3 *g isiiii E-iI# gr:fr $iff3 BI3T $ il8 g$u o-o o ': gg9. 6' 6' !?t:t 79FI=H918rlF 3g: tl (" VTq) 1*[ (" a(-t- bj(3 (3 bf f.+,fe---l $ffE$ trIl I t $i I€ {*ilEr€e t{ f $i1fln::::::I l--q--+ (" VT3=:!Dx3ilt, I?, $a _:5ts3:Et^p19+$ :.9.r5'.fiiei.:r [l.Jt EAt3o Fe iteE Ig { lr !ei4i5it;.ai €iFI'*i'*i g: oi {'= figE =vigIa 3qFfr.E i3't., t!ci3; *i f,| ol:ilg; tr(:.t6r:r :i=orca3F$ fl$if,g$g 5 $g*ja6. : 5E!-a :t o3oo:t (? fiFf iir$ a(l'J- t# (f t}f Etl'f $ n8 ,a -- .-.i.I q Srpr E--[ tE^3 g-'ggg 6'Q:'EI=Sl8 .11 N 7.! hr ot igftfi t\; 5 $ 3 5a iff $ l; i il !, f, Ig $ !lBu $g 3p $$ 5 # -.t ttrraa Za HIt5 F'rtlrF €_-- O ffisrFCTIoN TICKBTa IN$P€trTOR'S ACTION m&Frn0vED / z__str €s!}, ACTION *ESUIRE0: il PT$APPRSVTD ilNUrArPIICA$LE t{".se- N RHAL L:lnltr l{rr l}lsPKT Rcc'l Actrrurlrdged l{t*r, ffke CS? F.FtR"C{tot rtto! . Jo* c€gr Pb* " *rmdalc€tt lnlpector's Reprrt I ,**PHCTroo rr**", O lnspction RegEsr: Rec'd By Req. By , t.tf*r\r\*' e Res. \L Lr$\k,1Pennit No. Inrpcetio* Typc Day /Tirne Req. Inspector's RrBofi llllSpSCTfP lTfi'l$ CSNFO*I{ ru ApPftOvE* DW6S INSPffMR'SACTISN nAFPHSVIS {J DItiApPROv[D n ryNALn c.0. tFfNAL) eJ N{nArp{-mA8ffi nr6ru ,\ffir tNspreT ArnCIf{ SFQUt*Eil: Rec't Artruwlcdgcd rtlri*. Olkfs Copf F.Fan.coftl Sfdlr, Jo! C€pf fH " *?rcbtcott Lr i SrQv )LAIM FO'RM /ENDOR # /ENDOR NAME Ind LINE NAME \DDRESS )ITY, STATE, ZIP tLL/ct r^fc l,t S, qn* 1,4 qlLh rq,DATE ,De&-t'yrLuW., I t , Z-" ,-(a--DH APPROVAL CC APPROVAL CITY OF REXBURG Am e r i ca\ Family C o m mun ity DESCRIPTION ACCT DESCRIPTION A8 J Ic' ccCl-,",;4 Jloc' \+c1 fu'JLML&rL *''7-*- dzpc't"tt-^"( t,,t;,\Q io\i1\',- t'Y ,;,iLu . J. Vvtu'A'iqf-y''\ uW t/ l! M" f,,u" l,ur Receipt Number:1&O5gl . 35 North 'lst East / Rexburg; tD.E3446 Phone (208) 359-3020 / Fax (208) 359-3022 RPROOSEOOl RPROOSEOOl RPROOSEOOl Sign Deposit Sign Permit Permit - Electrical $165.00 Prevlous Payment History Fee Descrlption Amount pald $ 165.00 tII