HomeMy WebLinkAboutALL DOCS - 13-00232 - 859 S Yellowstone Hwy - Madison Pediatric Dentistry - Temp SignSign Permit Appllcolion
www,rcxovtg.org
Cltv ol Rcxburg
Phone:20E.39.3020
Fox:208.359,3022
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ctrY ol
REXBURG
Aaatcnl fu'|tilyComlffitty
Applicant Information
DatcofApplicatorr, .lLt.f-le 5 , ?Ol4 PcrmitNumber:
ownerName: 9Tmce' Itta u<efl^ '.
Site Ad&css:
MailingAd&css:
Telcphone I db -GSA - c;-42€ Mobile:
Contractor Information
Contractorts Name:
Contrector's Ad&ess:City/State/
Contractot's Telqlhone:Mobile:
Sign Information
Sign area sq. ft:Sign Height (from ground):
Sign Descriptions:
Date oign will be rcmoved:2oS
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For r Sign Pcrnit it is nrud111os thet you havc the following informatiou
2 sctr of qlevation dmwinge of I dgn & Qhtpla* tf mPltubb)
Drawn to scde with dimensions
And complete constnrction materids
Footings if applicable
Engineer sampcd if required
TEMPORARY
FN,EF- STANDING SIGN
E Plot PLn to scalc showing:
o e) Buildinglocation
o b) tot size
o c) Ncu' sign location
o d) Dirnensioos to sign from propcrty lincs
o c) Parking lot entrencc
o f) Disance of sign from nght of way
o g) E:ristiog Signs locetion & area
o h) Is sign Liglrted? Ycs stdc cltttical nrct h in hgzl rywfor llghtiagand
Signanrc of
Note This docmnt ir for applietion only (thc legd sign pcrmit form tffit bc signcd by city before iign is approved)
TEMPORARY
VALLBAhTNERS & SIGNS
o a) Sq. footage of wall (sign on)
o b) Existing signs & a-rea
tr c) New sign & arca
o d) Location of sign on wll
o e) Is sign lightcd? Yes (nrct mnt ilatc ehctrical ndc)
(igt aut bc in bgl ryncJor Eglxingand ryp)
4
Sec Odineac (oo. 107) et g,1g$rugolg for rcgulrtion inforoetim.