HomeMy WebLinkAboutALL DOCS - 14-00059 - 256 N 2nd E - Upper Valley Ear, Nose & Throat - Wall Sign35ir. tr7E.Rabury,1D83440
Sfgn Permit Appltcaton
Clty of Rexburg
PbnningZaning@fiurg.org phooe: i{f.SSLJOjpvnwaburg.otg FaK2OAJW.SO22
Applicant
Owner Name:
Slte Address:
MailingAddress:
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ContrEctor Informatlon
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Flxed Sfnage
Eleadcafspecialty contractor Informatron (for powerd or tighted :i gn s)€ontractor lnformation
Contractor's Name:
Contractor's Address:
Contractor's Phone:City/State2ip:
Contractor's SignatuTe:
Sign Inforrnation
Sign Area sq ft:
Sign Description:
I nitials;_
Sign Hei3ht ffrom ground):
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2 Sets of efevation dravdngs of a siSn e hlpl.fulr.i|g361li1gblg)orawn to scale with dimenrions and corplctc .on--ctiiliit"ri"t,Fmtings if applicable
Enginecr stampcd if required
FRtCsrAilQllt(ijglcttt tVAug€NsptOT PLAN TO SCATE SHOW|NGT A) Sq. fOOTACE OF WALL It ror rr,. s tgn is onlA) BUILD$|G toCATtOtt B) EXE1NG SIGIS & AREAEl LOT Slzt I
cr NEw srGN tocATro*
c) NEw slGN & AREA
D) rocAnoNoF SIGN ONWALT_DlofMENsloNstosl6NFRoMpRopERwllMs E)lsslcNUGt{TEo? ves [uo1),,urtmeetstoteet&tricdlcode)E)PARXINGtOTEN'IRANCESfCgnmustbeinlegol zoneforlbhtingandflp) t</
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F) DISTANCE OF S]GN FftOM RIGHTOF WAY
G) EX|SnNG StcrYs LocATtoN & AREA
H)lsslGNuGl{TED? vrs 6@rrt mectstatedcdrtco!coda)(signmuxbcinlcgalzonelorlightingondtypc1
F.r $100r : 3zs.oo nftndrH. rt tlrrr of fmr rrprcdon rnd phoeo of cor4lrtrd rbn.
lnitials:-rAn eKra 955.00 charge wlll be appried to any powered or righted Eign.
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l'fote: This docurrent is for +plicatior propces only ' (the lcgol sign permk lorm must bc signed by city ofibiols before sign is opprovect)3.a Slrr O?dkrr.rr lO!t at www,re,&{r{.cq for regulationlnfotmation.
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Transaction Details
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XBP Confirmation Number: 3?$13g2
rr Transaction o"taii i"i pivr'"ffi?itv ot n*"n*". .. __. r_rrrrerrr rv L,rv ut neltltr$.
, Date:08t29t201t _ S:30:O2 pU, Transaction Number: -
Cify of Rex&urg
.35 I'lorfhlsf fcsfRexburg, lO gS44O
Visa - XXXX-XXXX-XXXX-9425
Status: Refunded
Account #ft"T
PZ Sign Deposit
t.Transaction Notes: Refund sign deposit _ sign completed,
Billing lnformation
TERESA TERESA
,83440
landmark@landmarksignsidaho.com
_O1S jnal Transaction : 247 3177 SpT.*"ffi 'o*ffid**' *-*-"*"*1ffi ;;il,t
Email: landmark@landmarksignsidaho.com
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$-75.00
details.php ?trans_id:M zAzMzEzNj g%3D... g / 29 /20 1 4
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Transactian Details
XBP Confi rmation Numberz 94284
Date: 02I 1312014 - 12:55220
Transaction Number: 247 3177 5PT
Visa XXXX-XXXX-XXXX-9425
Status:Successful
TATAL: St A0.0A
Transaction taken by: shellieBilling Information
TERESA TERESA * Lq.v"d.l\rd-',.l.r,.'.; ::,'",
.83440
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City ofRexburg Receipt#r 773
Date:2/l3D0l4
Ied3{11re i Dqlqrig_tior
Fecs:
FcCrd-c/tlecrltior _ .slc*!{:Ep!!!siccrutlce
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TotalPqment:
Code: REIGURG_Recpt773_l3_2-2014_ddrem
100,00
100.00
ReceivedBy: clinem Pegcc I of I