HomeMy WebLinkAboutALL DOCS - 160 W 2nd S #233 - Namaste - Signil6f;$i;rdi.,,:. r i , ., '/:H#ffgn Permit AppliCqliOn
igir"iattrrn i::it,:: " A-/$ll*J-?= cityof Rexburs
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ra/., L p{Norh tf Fg$-a;., t phone:208.359.3020
/-rL ktiburg,',4D&3F,4fi tt-t 1 www.rexburg.org Fox:20g,559.3022
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Applicant Information
Ownet Narne;
Site Address:
MailingAddtess:
Telephone:
Conttactof Infotm atio n
Corrtractor'sN r ", YESCO
city/st',te/zip, Iclql4-o EUS. tb
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Contracto/s Address:
Contractor's Telephone:
OITY OF REXBMG
Sign area sq. ft:
For a Sig"n Permit it is mandatp$Z that you have the following information:
? sets of elevation drawings of a sign & bhtpk$. if applicabt4
Drawn to scale with dimensions and complete construction materials
Footinp if applicable
Engineer stamped if requfued
FREE STANDING SIGN
o Plot Plan to scale showing
o a) Buildinglocation
o b) Lot size
r c) Ncrv sign location
o d) Dimensions to sign frour property liaes
o e) Parking lot entrances
o Q Distrrnce of sign from riglrt of way
o g) Existirg Signs location & area
WALLSIGNS
o ") E. footage of wall QSCt, otl
o b) Existing signs & area
flc) New sign & area'a d) lacation of sign on wall
,d") t. sign liglrted? Yes (nttut ncct ilatc alc.ctical codc)' (rigu nurst bc it legal iomfu'ligbtitgrud !p)
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rn pfocqurol..{tttFlcg.l sitr'n pcrmil f<rm must bc signcd by citJ officiak bcforc sign ir epprored)
inance (no. 1(D?) at rrrr*'.r3xlrur&org fot regulation information
o h) Is sip Lighted? Yes (anrt neel dale electtinl nde) (sign nntt bc tu ttgal ioatfot tig[tiyarl g,pc)
Fee: $100.00* - S75'00 refundable at time of frnal inspection and photo of completed sign.f,.\n extra 940.00 charge will be applied to any povered or lighted sign.
Signaturc of
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Inspcrion Request: Rec'd By N\\\ t\ltj oate
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/ENDOR #
/ENDOR NAME
Ind LINE NAME
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\f rs eo DATE
DH APPROVAL
CC APPROVAL
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DESCRIPTION
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CLAIMANT OR HIS AGENT SIGN HERE
.-,dss Bill Pay - TransactionDetail
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Transaction Details
3:-de*l
Description
PZ SIGN_DEPOSIT
Billing Information
Justin Stedman
, 84109
Mastercard - XXXX-XXXX-XXXX€434
Status: Refunded - Refunded
Transaction Num ber: 1 647 2SS29T
; I..".1:1"Ji_9"-l,t-oles: REFUND srcN DEposrr pERMrrs 'l2ao2t/ sAssy Fo\AERs, 1200285 ATR|uM,NAMESTE1200286
Transaction taken by: marianna
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Bllling Information
Justin Stedman
,84109
i,e.rinli r t-qt se1
City of Rexburg
35 Northlgt East
Rexburg, lD 83440
208-35S-3020
lTotal Paid:
Transactlon taken by: marianna
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fficityofRexburg.Date: 06/15/2012 - 10:14:43 AM
Transaction Number: I 5734766PT
Mastercard - XXXX-XXXX'XXXX-6434
Status: Successful.
Description ?eference #Amt per ltem # ltems Total Amt
PZ PROCESSING FEE $2s.00 3 s75.00
Notes: sign pennlt 12 00286\r\nand 12 00285 and V\n12
00284
PZ SIGN DEPOSIT $75.00 3 s225.OA
ELECTRICAL PERMIT $40.00 3 s120.00
Notes: sing permits 12 0A86 and 12 0l!5 and V\n12 0084
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Transaction detail for
Billing lnformation
Justin Sledman
, 84109
o Page 1 ofl
Cfty oi Rexberg
35 Northlst EastRexburg, lD 83440
208-359-3020
4tr 961' PYinter & I
Date: 06/15/2012 - 10:14:41 AM
JUN 22
CITY OF REXBURG
Transaction Number: 18734766pT
Mastercard - XXXX-XXXX-XXXX-6434
Notes: sign permtt 12 00286\r\nand 12 00285 and \r\ntZ
Notes; sing p-ermits 12 0086 and 12OWS and \r\njZ 0094
Transaetion taken by: marianna
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