HomeMy WebLinkAboutAPPLICATION - 12-00012 - 16 E Main St - Family Crisis Center - Temp SignJAN-5-a81e L3zO7 FROf4: FRNILILYoCRISIS CENT AA8356A717 P.I/ I
i,;):;iJ lgn Permil Applicotion (.rtI (l!
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Pnone: 208.359.
Fox:2a835Q.
Applicant Information
Dare of Applic:ruon:
Ownsg Name:
Srse r\ddscss:
wwvrre\bAtg.otg
Temporary Signage
Permit Number:
UY OF REXBURG
,N(dlingAddress: ll" f . ctrra-.n *t... Ciry/Stntt/Z;
Tetephone: ZE tx,.n" t { _rvrobrle:
Contractor Information
ConErctor's Name:
Conrractor's Address:Ciry/Snrc/Zip
Conuactor's TeleDhorre:lvfobilr;
Sigtt Information
"* Slgtt oler sq. trt ,...-- -!l-X g Sign Height (from groun.l),_ .. , ._ -. .Sign Descnpdonr,
Datc uign will be removcd; U
--F-___________________
rot a sic:nEernit ir i$ nslflalqtrt rhar you hnve rhe followrng informruon:
2-x.eJe.gf clt.va.riO,.-rrtTurj.gs-rLf-e. s.ign & (Alat n{qti dlpq/iaUbk)Drarrm to scale wrch dimensions
And complcrc cons rnrction ma tcrials
Foocings if applicable
,l'nginccr snrnpcd if rcquircd
TFMpORT{\x
rBaE-S:r^NnrNG srqal
O Plor Plan ro scalc showing:
o a) Builcling locarion
o b) Lot size
c c) New sign locorjon
o d) Dimensions ro sign from properry hnes
o e) Parhing lot cntranccs
o f) Disr,ance of sign from oghr of uay
o g) Exisdng Signs locadorr & aren
o h) Is srgn Lrghtedl Ycs (nat n(| mrc mnlt bt til hgal rync /or tighting antl ryp4
Signarure of Applicnnr:€ l--
TENIFoRA&Y
$4ALL E 0NlyfiRs.$r s r.GN.g
o a) St1. foomgc of rrall (tign on)o b) Exisring signs & area
O c) Nerv rigr & rre,a
o d) Locanon o.f srgn on wnil
o e) Is sign tighrcd2 Yes (mait nect ilah chctrical a&)(rgn nwt bc in hge/ Xone/or lghtiag ad gp)
Notg llus docurncnt ri tor rpp6cltg,nn p,,["rsc* ,rnl] (rhc legtl trgrl fxrrnt fojm mrrsl hg tlgnqd ov,:rr] olficr.rlc bcrrrrc ngn rJ ,tpprovcdJSsc 5i4n Ordinirnce (no. 90g) n, uao.rrXlg tL.lrte ttt regu-lution rnformltion.