HomeMy WebLinkAboutALL DOCS - 14-00188 - Madison Professional Park - SignSign Permil Applicolion
35 N. lsr E. plonningZoning@rexburg.org
Rexburg, lD 83440 www.rexourg.org
Cify of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
Applicant Information .'Lir,,i **rt
OWner Name: Complete Family Care pLLC
Fixed Signage
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Site Address: 10 Madison Professionat Park, Rexburg
Mailing Address: 10 Madison Profesional Park City/State/Zip: Rexburs, lD 83440
Telephone: (2oB) 6 6-9467 Mobile:
Contractor Information
COntraCtO/S Name: Silver Crest Corporation
ContractOrrs AddreSS: 218 Ricks Avenue City/State/Zip:Rexburg, lD 83440
Contracto/s Phone: (20s)390-1716 Mobile:
Efectricaf/specialty contractor Information (for powered or tighted signs)Contractor Information
COntractor,s Name: N/A (nor tighted)
Contractor's Address:
Contractor's Phone:
City/State/Zip:
Mobile:Contracto/s Signature:
Sign Information
Sign Area sq ft: 42 Sign Height ffrom groune: B
Sign Descripligl' Bricustucko to match building, on concrete footing with stakes through its height
"11 """L*,d"
Date:
For a Sign Permit it is mandatory that you have the following information:
1. 2Setsofelevationdrawingsofasign &(fulfulrlspplicoble)2. Drawn to scare with dimensions and comprete construction materiars3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
! PLOT PLAN TO SCALE SHOWING:
t] A) BUtLDtNG LOCATTON
Ll B) LOT S|ZE
! c) NEW S|GN LOCATTON
! D) DIMENSIONS TO SIGN FROM PROPERTY LINES
wAtt SIGNS
! A) SQ. FOOTAGE OF WALL (rhof the sign is on)
! B) EXTSING STGNS & AREA
! C) NEW SIGN & AREA
! D) LOCATION OF SIGN ON WALL
ll E) ls slGN LIGHTED? yEs No (must meet stote electricor code)tl E) PARKf NG LOT ENTRANCES (sign must be in legal zone for tighting ond type)! F) DISTANCE OF SIGN FROM RIGHT OF WAY
n G) EX|ST|NG STGNS LOCATTON & AREA
n H) ls slGN LIGHTED? YEs No (must meet stote electrico! code) (sign must be in legol zone for tighting and type)
F€e: s100* - s75.00 refundable at time of final inspection and photo of completed sign.
Initials:-*An extra $65.00 charge will be applied to any powered or lighted sign.
Initials:-*Electrical inspection of sign must be completed with sign contractor present to verifo listing and labeling within interior of the sign.
Signature of Applicant:Date: May 1,2014
Note: This document is for application proposes only. (the tegol sign permit form must be signed by city officials before sign is approved)see sign ordinance 1027 at www.rexburs.ore for regulation information.
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Account #
PZ Sign Deposit
Notes: 14 00188
PZplan Check Fee
Notes: 14 00188
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Billing lnformation
Prince Prince
,83440
City of Rexburg
35 Northlst East
Rexburg, lD 8i440
Transaction Details
XBP Confirmation Numberl. 1e74124
Transaction Number: 26267 SZ gpT
Visa XXXX-XXXX-XXXX-2527
Status:Successful
Quantity
1
1
Item Amount
$75.00
s2s.00
Extended Amount
s7s.0a
szs.aa
TOTAL:Stao.oo
Transaction taken by: natalie
5/5/2014 9:28 AM
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Transaction Detaits
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XBP Gonfirmation
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Billing Information
Prince Prince
,83440
mdprinceT3@gmail.com
Page 1 ofl
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Number:3351831
Transaction Number: 28609209pTVisa - XXXX-XXXX-XXXX-2S27
Status: Refunded
City of Rexburg
35 Northlst East
Rexburg, lD U44A
Transaction taken by; marianna
Email: mdprinceT3@gmail.com
Item Amount
TOTAL: S-TS.AA
Transaction detail for payment to Citv of Date: 09/03/2014 - 2:52:58 pM
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lTransaction detail for payment to City of Rexburg'
Account # ltem
PZ Sign DePosit
Notes: 14 00188
PZPlan Check Fee
Notes: 14 00188
Transaction Number: 26267 57 3PT
Visa XXXX-XXXX'XXXX-2527
93!1."-::Y-c-1'i{gf - --*
Date: 05/05/2014 '9:29:04 AM
Extended Amount
s7s.00
s25.00
TOTAL:s|00.00
Transaction taken bY: natalie
Quantity
I
1
Item Amount
$7s.00
$25.00
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
Transaction Details
XBP Confirmation Number: 1074124
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Billing Information
Prince Prince
,83440
515120149:28 A
ffiM City of Rexburg Receipt#: 1845
Date:5/5/2014
Tender Type / Descrfolion Amount
Sub Total:
100.00
r00.00
Total Amount Due:
Total Payment:
Code: REXBURG_Recptl845 5 5 2014 elainemReceived By: elainem