HomeMy WebLinkAboutALL DOCS - 13-00319 - 707 S 5th W - Hyde Park - SignSign Permil Applicolion
City of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
Fixed Signage
Site Address:
Mailing Address:
Telephone: 57o? 227-7 Mobile:
CITY OS
REXBURG
35 N. lsr E. Plonningzoning@rexburg.org
Rexburg, lD 83440 www.rexburg.org
Applicant Information
owner Name: tlY 0 6
Contractor Information
Contractor's Name:
City/State/zip: Rl &R Ar<v U:&AZ
Date:
'l ( oto
Taran'( /vlw9e?J
Contractor's Address:
Contractor's Phone:
9Tf-eo E tao N
5(1 Le-z'7 Mobile:
Electricaf/Specialty Contractor Information (for powered or lighted signs)
Contractor Information
Contractor's Name:
Contractor's Address:
Contractor's Phone:
Contractor's Signature:
Sign Information
Sign Area sq ft:
Sign Description:
Height (from ground):
For a Sisn Permit it is mandatorv that you have the following information:
t. 2 Sets of elevation drawings of a sign A @!9lplSltjtgppltghle)
2. Drawn to scale with dimensions and complete construction materials
3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
6-PLOT PLAN TO SCALE SHOWING:
r/a) su r r-or Nc LocATr oN
se) Lor stze ?
z/c1 ruew srGN LocATroN
a€) DTMENSTONS TO StGN FROM PROPERTY LTNES
wArr slcNs
f l A) SQ. FOOTAGE OF WALL (that the sign is on)
! B) EX|STTNG STGNS & AREA
n c) NEW S|GN & AREA
n D) LOCATTON OF S|GN ON WALL
n E) lS SIGN LIGHTED? YES NO (must meet state electrical code)
ZE) PARKING LOT ENTRANCES (sign must be in legol zone for lighting and type)
BF) DISTANCE OF SIGN FROM RIGHT OF WAY
NIT'.i$ ! G) EXISTING SIGNS LOCATION & AREA
Z'tr) ts ste ru LIGHTED? @ No (must meet stote electrical code) (sign must be in legot zone for lighting ond type)
Fee: 5100* - 575.00 refundable at time of final inspection and photo of completed sign.
Initials:_*An extra 565,00 charge will be applied to any powered or lighted sign.
Initials:_*Electrical inspection of sign must be completed with sign contractor present to verify listing and labeling within interior of the sign.
Signature of Applican r, Date:&,'IUG 22t3
Note: This document is for application proposes only. (the legal sign permit form must be signed by city officiols before sign is opproved)
See Sign Ordinance 1027 at www.rexburs.orq for regulation information.
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
;!,2,liu,,.k, titt:.{< ti,;,4 DATE
%
DH APPROVAL
l.',ta r .-r.a"i_.i
i\/ / - \. ) '
!.;-t-i)'.i,t.,.,. 1j 7- tr".:.,-., CC APPROVAL
!;
CI?'Y-i3F
REXtsTIRG
Anrcr i cai F amily C o wmuni ty
CLAIMANT OR HIS AGENT SIGN HERE
TdrtArorrtDle:
TdrlPrlmert:
Co&: REIGURG-kcpt357-14-8-20 I 3-driaco
Receipt#:357
Date:8/14€013
I
City ofRexburg
; Tcl*TrrcJllctblqi
CHECK- Chcct
Fecs:
i'f;bia;titiJrnb;
SIGN-PERM- SirF ltrEit Fcc
100.00
100.00
r3s3l9
RcceivcdBy: ddrco Prger I of I