HomeMy WebLinkAboutALL DOCS - 14-00041 -The BackSmith - SignSign Permit Applicolion
City of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022www.rexourg.org
Appficant Informatign /1 r _l
OWnerName: .,r7,a. k Jrh "
Site Address:LIS F W',q.r K,r
Mailing Address: t:! | lv',q , ,,,, Fo.,L, ,
Telephone:),.,f, jjq-1:i;
ftB 3 3910 '"'
CITY OF
Fixed signage \kttk- tSs'i rth
REXBURG
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Ame rica\ Family Community
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Mobile:
Contractor I nformation
Contractor's Name:YJ I;
Contractor's Address:
Contractor's Phone:
Contractor's Phone:
Sign Information
Sign Area sq. ft:
Sign Description:
City/State/zip:
Mobile:
Electrical/Specialty Contractor Information (For powered or tighted signs)
Contractor Information / "Contractor's Name:
Contractor'sAddress: t"/ i r. City/State/zip:
Mobile:
Contractor's Signature:Date:
Sign Height (from ground):
For a !!p@!! it is mandatorv that you have the following information:
1. 2 Sets of elevation drawings of a sign & (plot plots if opplicoblel
2. Drawn to scale with dimensions and complete construction materials
3. Footings if applicable
4. Engineer stamped if required
FREE STAND!NG SIGN
E PLOT PLAN TO SCALE SHOWING
E]A) BUILDING LOCATION
E B) LOT SIZE
EC)NEWSIGN LOCATION
WALL SIGNS
D A) se. FoorAGE oF wALL (s/6N oN) LIX ,,
El B) EXTSTTNG S|GNS & AREA
tr C) NEW SIGN & AREA
tr D) LocATIoN oF SIGN oN WALL
/ 'e4 /L/
tr D) DIMENSIONS TO SIGN FROM PROPERTY LINES E E) lS SIGN LTGHTED? YES (must meet stote electricol code)
E E) PARKING LOT ENTRANCES (sign must be in legol zone for lighting ond type)
tr F) DISTANCE OF SIGN FROM RIGHT OF WAY
EG) EXTSTTNG SrGNS LOCATTON & AREA
- tr H) lS SIGN LIGHTED? YES (must meet stote electrical code) (sign must be in legot zone for lighting and type) {Vl 'ol
Fee: 5100* - 575.00 refundable at time of final inspection and photo of completed sign. v
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*An extra 565'00 charge ^
,o.r*;;o'o,,"nt
or"o or lishted sign.
signature of Applicant , j./ [r- //, J*^ffi' o^r",
Note: This document is for application proposes only (the legal sign permit form must be signed by city officials before sign is approved)
See Sign Ordinance 1027 at www.rexburq.orq for regulation information.
For Office Use Only:
ReceiptCodes:(Regular)[]PZ:$25.00 [] PZSD:$75.00 (ForElectricalAdd) [] ELEC:$40.002/ltrl