HomeMy WebLinkAboutALL DOCS - 12-00188 - 36 N 2nd W Ste B - The Car Dealer - SignPermil Applicqlion
Cfi of Rexburg
Phane:208.359.3020
Fax:2A83593A22
CITY OF
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REXBURG
www.rexburg.org
OwnerNeme:
Site Address:t0 6
1y"ili.g Addressr 9i4r^. 6 Ctry/St*e/Zip:
Contractor Information
Contractor's Neme
Contrector's,\ddress :
Contractor's Telcphone: _]htobile
Electrical/Specialty Contractor Information @or powered or lighted signs)
Contrectot's Nlmc:Contractor's License Number:
Contractor's Address:City/Stete/Zip:
Conttacto/s Telephone :Mobile
Contractorts Signature:Date:
Sign Information
Sign area "q.n H
'
Srgn Heght (from ground):fi'
SignDescription.' lel" br,ck .rC Vta\
City
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APn 2 4 2012
For a Sign Perqit it is mandatory that you have tle following infomation:
2 pets of Slevation drawings of a sign & ehtdabif@liczhb)Drawn to scale with dimensions and complete constnrction materials
Footings if applicable
Engfneer stamped if required
FFIEE STANDING SIGN
{PlogPlanr to scele showing:
q/t) Building locadon
4\YLot size
pc)New sign location
/o)lDimcrrsrons to sign from property Lnes
dp Pa'Hng lot eilrran€es
d f) Distance of sign from nglrt of tl",ey
f\nF d Existing Sig"3 location & area
n-rrb h) Is stgn Lighted? Yes (tzntrt meet state ebctrial code) (sign nxst be in bgel qone.for Eghting and gpe)
Fee: $lfi).fi),lt- $?5.00 refundabl,e at time of final inspection and_Bbgroahpleted sirxAn extra $a0.00 chege will be applied to any
Signature of
Note: This dommt is for only (ft{Egnlskrfmit fom must be signed by city ofEcids before sign is apprcved)
n-O n .) Is sign lrghted? Yes (mxtt meet tbte ebctrical code)
(sign n*t k in lcgal qon ju lightingand r?e)
r(
See Sign (no. 1027) at snrv.rexburg.org for regulation infonnation.
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
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DH APPROVAL
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CITY OF
REXBIIRG
Americals Family Community
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CLAIMAN
Receipt Number: 12-V2ff.
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
RPRRXBl031 SignDeposit
RPRru(Bl031 Sign Permit
1459 $ 100.00
Total:$100.00
genpmtrreceipts Page 1 of 1