HomeMy WebLinkAboutALL DOCS - 14-00098 - 75 N 2nd E - Maverik - Sign35 /V. lsr F.
Rexburg, tD 83440
Sign Permit Application
City of Rexburg
PlanningZoning@rexburg.org phone: 208.359.3020www.rexburg.org Fax: 208.359.3022
Telephone:
Contractor Information
Contractor's Name: t-tC C ?,r,
Contractor's Arlrf rocc'
citv/state/zip: O- So ltlale,Ltf P?aS/Mobile:
City/State/Zip:'/o /
Sign Height (from ground):
g i2.2.
Efectricaf/speciarty contractor Information (for powered or tighted signs)Contractor Information
Contractor,s Name: 4,a? 1,,./f il", +..ContrarJnrtc Aafef.^--. i a oA z-
City /State/Zip: Os J", L/ - f,-/,/o./Mobile:
Applicant Information
Owner Name:
Site Address:
Mailing Address:
Contractor's phone:
Contractor's phone:
Contractorrs Signature:
Sign Information
Sign Area sq ft:O,
Sign Description:
FREE STANDING SIGN
! PLOT PIAN TO SCALE SHOWING:
u A) BU|LD|NG LOCAT|oN-r B) LOT SIZE
Fixed Signage
. A)se. roon(
I B) EXtSTtNG Stl
Deanne Leatherman
uovernment Relations
For a Sien Permit it is mandatorv that you have the following information;
1. 2 Sets of elevation,drawings of a sign & (plpt-plgZsLt4pplitSbk)2' Drawn to scare with dimensions rnl .orlE" construction materiars3. Footings if applicable
4. Engineer stamped if required El YEsGo.
I c) NEW slGN LocATtoN x c) NEw slGN {
r. Dl DrMENsroNs ro srGN FR'M pRopERry,NEs 3 :i,,r"rfl,|,:JI E) PARK|NG LoT ENTRANCE S (sign must be in legol zone for lighting and tytI F) DISTANCE oF S|GN ,norur nre Hr or wnve.c) EXIST|NG STGNS LOCATTON & AREA
'
JI H) ls slGN LIGHTED?
@ No (must meet stote electricar code) (sigr
custom Electric signs*
Fee: g196* - s7s.oo refundable at time of finar inspection and photo or .orpr"t"d lign.
Initiars: D- *An extra s65.00 charge wit be appried to any powered or lighted sign.
lnitials: hL *Electrical inspection of sign must be completed with sign contractor present to verify risting and rabering within interior of the sign.
Signature of Appficant , O"r",
Note: This document is for application proposes o-nly'^(the tegar sign permit form-:_:r.,b: ,isr"-d by city officiots before sign is approved)See Sign Ordinance |OZZ "t ***.iu"Oure.ore ror regulation information.
801-487-8481 Telephone IE01.464-6455 Di,s" t I801-330.0851 Ceilutar I801-485-3003Fax I
E.mail: dleath"..un@yur.o.odm
1605 South Gramercy Roads-att Lake city, utah 841(Mur uonractor,s Uc€nse No. 7232280-5i51
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
DATE
DH APPROVAL
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Sa-ti 4o('tCd, lt[[ CC APPROVAL
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CITY OF
REXBIJRG
Am er icai F amily C o mmunity
DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
fu^,n',-"$' 14oa cctS
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CLAIMANT OR HIS AGENT SIGN HERE
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cftM City of Rexburg
Sub Total:
Receipt#: 1476
Date:3/12/2014
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rtal Amount Due:
Total Payment:
165.00
165.001';ir;':il n{i.,-: iif ii:ii;
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Fees:
SIGN-PEBM- Sign Permit Fee
SICN-ELE- Sign Elechical Fee
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