HomeMy WebLinkAboutALL DOCS - 13-00126 - 673 N 2nd E - KC Performance - SignSubmit by E-mait
Sign Permil Applicotion
CiV of Rexburg
tD 83440 Phone: 208.359.3020
2 OWY.rexburg.org Fax:208.359
CiTY OF
TIRG
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Date of APPut"oga PermitNumber:
Owner Name:
Site Address:
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MailingAddress: fu*-lyx-V City/State/Zip
Telephone Mobile:=:e<>s- 313- ?llc)
Contractor fnformation
Contractor's Name:
contracror's Address: 2t{.} E 7lr n K>- cirytst^t tnp
Contractor's Telephone: e-r\ - &56 *OrlA i Mobile:
Sigtt Information
Sign area tq. rt' i T) Srgn Height (ftom sound): ,2 {v-4
Sign Desctiptions:
Date sign will be removed: A i If+
I--TErI--INI
Fot a sign Petnrit it is mandatoty that you have the folowing information:
2 sets of elevation drawings ofa sig U b/eLplatr {@pLcab/e)Drawn to scale with dimensions
And complete construction materials
Footings if applicable
Engineer stamped if required
TEMPORARY
FREE STANDING SIGN
n Plot Plan to scale showing:
o a) Building location
a b) Lot size
o c) New sign location
o d) Dimensions to sign from property lines
o e) Parkinglot entrances
n f) Distance of sign from right of way
n g) Existing S.igns location & atea
o h) Is sign Lighted? yes (must meet rtate electical codz for lig,hting and EpQ
Signatwe of
l,bU
TEMPORARY
WALL BANNERS & SIGNS
n a) Sq. footage of wall $ign on)
n b) Existing signs & atea
I c) New sig4 & area
n d) Location of sign on wall
a e) Is sign lighted? yes (mzst meet state electical code)
(ign nust be in hgat Tonefor lightiryand Epe)
APR 2 2013
g!ry oF REXBURG
Note: This document is for
.ci- i
CLAIM FORM
t.
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE. ZIP
a qa e .1fhN.*X
DATE
DH APPROVAL
L'{ lzt larz
g b,lclo CC APPROVAL
CITY OF
REXBIIRG
Americai Famif Community
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CLAIMANT OR HIS AGENT SIGN HERE
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Site Secured by - Starfield Technologies Inc.
to City of
Transaction Number: 2O02O1 g3pT
Visa - )fiXX-)0ilX.XXXX-5036
Status: Refunded - Refunded
Page 1 ofl
City of Rexburg (10006)
Datei 04124120,t3 . 1 0:51 :59
q Transaction
f;8""r.l
$-75:00 ;
TATAL:
S-75.a01
s-7s.00
Billing Information
KC PERFORMANCE LLC
, 83440
'
I Transaction Notes: refund deposit for KC performance
Transaction taken by: marianna
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