HomeMy WebLinkAboutALL DOCS - 13-00053 - 174 E Moran View - Pro Rentals and Sales - SignAppllcant fUdfr"n
Owner trtame: . Pro hehtab a Saes
:;i:i'v' Fixed Signage
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Site Address.
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Mailing Address:City/Statezip:Rexburg, ldaho
Telephone:Mobile:
Contractor lnformation
COntraCtor,s Name: A/K Sign Co.
COntractOr's AddreSS: 2294 lona Road City/State/Zip:ldaho Falls, ldaho 83401
Contragtor's Phone: (208)5244458 Mobile: (208) 313-1302
Electrlca/Specialty Contractor Information (For powered or lighted signs)
Contractor Information
Contractor's Name:
Contractor's Address:
Contractorrs Phone:
City/State/Zip:
Mobile:
Contractoy's Signature:Date:
Sign Information
Sign Area sq. ft:
Sign Description:
Sign Height (from ground): I
For a S!g!_PgO[ it is $llglggtrI that you have the following information:
2 Sets of efevation drawings of a sign & lplot olots if ooolicablel
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE SIANDING SIGN
E] PLOT PLAN TO SCALE SHOWING
EIA) BUTLDTNG TOCATON
E B) LOT SIZE
Ec) NEw srGN LOCATTON
WALL SIGNS
E A) sq FoorAGE oF WALL (s,6,v oN)
E B) EXtsrNG srcNs & AREA
EI c) NEWSIGN &AREA
E D) LocAroN oF srGN oN WALL
2.
3.
4.
ED) DfMENSIONSTOSTGNFROMPROPERTYLINES E E) ISSIGNLIGHTED?YES(rnustmeetstateelectrical code)
El f ) paRnNe LOT ENTMNCES lsign must be tn legol zone for lighting ond type)
E F) DISTANCE OF SIGN FROM RIGHT OF WAY
EG) EXISTING STGNS LOCATION & AREA
El H) lS SIGN LIGHTED? YES (m ust meet stote electrical code) (sign must be in legol zone lor lighting ond type)
Fec: $l(xl* - $25.00 refundable at time of final Inspectlon and photo of complcted slgn.rAn extra $65.00 charge will be applied to any powered or lighted sign.
Signature of Applicant:MarshallKennev Date: February 19,2013
Note: This document is for application proposes only (the legal sign permit form must be signed by city offtcials before sign is approved)
See Sltn Ordinanc€ 1027 at for regulation information.
For Offic,e Use Only:
ReceiptCodes:(Regular)[ ] PZ:$25.00 [ ] PZSD:$75.00 (ForElectricalAdd) [ ] ELEC=$40.00
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
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DH APPROVAL
CITY OF
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DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
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CLAIMANT OR HIS AGENT SIGN HERE
't Xpress Bill Pay - Payment Processmgo Page I ofl
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
ToblPaid:l SlA0.0A
Transaction taken by: marianna
Billing lnformation
marshall kenney - AS
,83440
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,ffirm
Payment Service Provided By www.x press b i I I p ay. c o m
40 qlol, Printer
b Transaction detail for payment to City of Rexburg.Date:0212512013 - 10:54:44 AtU
Transaction Number: 19155575PT
Visa - XXXX-XXXX-XXXX-641 7
Status: Successful
Description Reference #Amt per ltem # ltems Total Amt
PZ PROCESSING FEE $25.00 1 s25.AA
Notes: sign permit V\n# 13 000 53
PZ SIGN DEPOSIT $75.00 1 s75.00
t@ Bill Pay 2013 - All Rights Reserved
hups :/lwww.xpressbillpay. com/common/paymentjrocess.php 2/25/2013
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City of Rexburg (10006)
Transaction Details
iffi 4* col, print*r & j i or,nr*, ro.-.t @ $
t| Transaction detail for payment to city of Rexburg. Date: 03/18/201 3.11:4s:17
Transaction Number: I 945181opT
Visa - XXXX-)0(XX-XXXX641 7
Status: Refunded - Refunded
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Billing Information
marshall kenney
,83440
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I Transaction Notes: REFUND S|NG pERMtT# 12 OOO53 pRO RENTALS
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Transaction taken by: marianna
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https://www.xpressbillpay.com/commorvtrans_details.php?trans id:MjEzNDklNjY%3D 3/Ig/2013
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$s{{ritiid! ?fu'!{i11, r.irir{sr*sji!
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Total Paid: I St0O.O0
Transaction taken by: marianna
{r9Y $i:
Billing Information
marshall kenney - AK $qrl &
.83440
40 tlal, Frinter
t Transaction detail for payment to City of Rexburg.Date:0212512013 - 10:54:44 AM
Transaction Number: 1 9155575PT
Visa - XXXX-XXXX-XXXX-641 7
Status: Successful
Description Reference #Amt per ltem # ltems Iotal Amt
PZ PROCESSING FEE $25.00 1 s2s.aa
Notes: sign permit \r\n# 13 000 53
PZ SIGN DEPOSIT $75.00 1 s7s.00
Copyright @ Xpress Bill Pay 2013 - All Rights Reserved
https ://www.xpressbillpay.com/common/paymentjrocess.php 2125120t3
Gity of Rexburg
Receipt Number:Department of Comfr unity Development
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
RPRXBCAO1I
RPru(BCAOlI
Sign Deposit
Sign Permit
$75.00
$25.00
$100.00
CREDIT CARD N/A $ 100.00
Total:$r00.00
genpmtrreceipts Page 1 of 1