HomeMy WebLinkAboutALL DOCS - 12-00032 - 257 N 2nd E - Bell Black Insurance - SignSifn Permil Applicqlion
Ctty d Rexburg
Phone:208.359.3020
Fox:2@.359.3022
Fixed Signage
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,rexburg.org
CITY OF
REXBURGH$ffl'*].$'i'|: I i* j.,.,,?
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Oqrner Name:
,tAN 2 4 2012
i,.j Hoct.lrrjs Maril'8t..
SiteAddress: ZS2 ^/' 2;!a^5 1
Marling Address:
Telephone:Mobile:
Contractor Information
Contractot's Name: ,\
Contrecto/s Address:LLqq l-,^.* tJ City/Sate/7,rp td-
Contracto/s Telephone:9.2'i - qqs ft-Mobile 3ra- i3o2_
.Ciry lSate/ ?ip. 2", 6.-T
Electricd/Specialty Conttactor Information fot povrered or lighted signs)
Contractor's11ilnsr t&'Contractor's License Number:
Contractot's Address:C-tty/Sate/Zip:
ConEactot's Telephone:
Confactotts Sig[atue:
Sign Information z.{ 3Q 32 b
sigrrarearq.t I e Y*6' la d*8'Sign Height (ftom ground):5- Gt
Sign Desctiptioas:e\.r,r-^.i 1\9 tA 5
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For a Sipn Permit it is mandatotv rhat vou have the followins informadon:
2 sets of elevetion drawings of a sign & (plotpktr if 4llicabh)
Drawn to scale with dimensions and complete construction matedals
Footings if applicable
Engineer stamped if tequired
FREB STAhIDING SIGN
n Plot Plan to scalc showing:
o a) Buildinglocation
n b) Iot size
n c) New sign location
o d) Dimensions to sign from ptopety lines
n e) Parking lot enmnces
o f) Distance of sign ftom riglrt of uny
a g) Existing Signs location & atea
n h) Is sign Lightcd? Yes (mut ant statc ebctrical n&) (rign wst k in legal rywfor ligbnq ood W)
Fee: $lfi).lXl* - $75.00 tefrrndable at timc of final inspection and photo of completed eign.
*An extra $40.00 chatge will be applied to any powered ot lighted sign.
Signature of Applicant fLaaaL^lO {ouvr'-^, o"t" l- Z j..."&
Notc This documcnt is for application purposes only (thc legd sign pcmit fomr must be signcd by city ofhciels bcfor sigt ic apptovcd)
Sce Sigp (Hiaancc (lno.lffil) at www.rexburg.orE for rcgulation information.
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\TALL SIGNS
a a) Sq. footage of wall (sign on)
o b) Existing ugns & area
n c) New sign & atea
u d) Iocation of sign on wall
o e) Is sign lighted? Yes (t xtt tttct st4tc chctrical code)
(sign aust ln in hgal qne for lightit g ond tpc)
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
nl, r
fl/K':rrqr.t (1<. DATE
DH APPROVAL
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L-L(14 3"'',j,La i,a *a-L(, , 'I_D . CC APPROVAL
CITY OF
REXBTJRG
Am e r i ca\ Family C o mmun itY
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DESCRIPTION
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CLAIMANT OR HIS AGENT SIGN HERE
R,XBL'lrC
t*n\\.nta.it. ir,^r\\:::i"'iffllscon.n.unity o[''."n, I neceiot Number:
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
MARIANNAG
12 00032
12 00032
RPRRXBI0lt Sign Deposit
RPRRXB101( Sign Permit
Previous
$75.00
$2s.00
Total:
$7s.00
s2s.00
$0.00
$0.00
$100.00
$ 100.00
$100.00
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CHECK
JAN s 1 2012
CITY OF REXBURG
genpmtrreceipts Page 'l of 1