HomeMy WebLinkAbout12 00502It by E"mail Sign Permil Applicqlion
35 N. ItrE. . .:i:1., .:l-
Rexburo. tD83440 ;t l( tt_rt lzl!:
City of Rexburg
Phone:208.359.3020
Fox: 208.359.3022
Fixed Signage
Mailing Address:1352E. Lincoln Rd.
Telephone:(208) s22-5548 Mobile:
Contractor I nformation
COntraCtOr'S Name: Landmark Signs LLC
ContraCtOr's Address: 1352E. Lincoln Rd.
Contractor's Phone: (208) 522-5548 Mobile:
ElectricaUspecialty Contractor Information (For powered or lighted signs)
Contractor lnformation
Contractor's Name:
Contractor's Address:
Contractor's Phone:
City/State/Zip:ldaho Falls. lD 83401
City/State/Zip: ldaho Falls' lD 83401
City/State/Zip:
Mobile:
Contracto/s Signature:Date:
Sign Information
Sign Area sq. ft:
Sign Description:
21.133 Sign Height (from ground):13 ft.
flat cut acrylic letters
For a Sisn Permit it is @dglgly that you have the following information:
2 Sets of elevation drawings of a sign A@!9!I!gEI_Spp!9Sb!d
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
FREE STANDING SIGN
E PLOT PLAN TO SCALE SHOWING
EA) BUILDING LOCATION
tr B) LOT SIZE
trc) NEW S|GN LOCATTON
WAIL SIGNS
tr A)Sa. FOOTAGE OF WALL (S/CN ON)
tr B) EXISTING SIGNS & AREA
tr C) NEW SIGN & AREA
D D) LocATroN oF srGN oN wALL
1.
2.
3.
4.
E D) DIMENSIONS TO SIGN FROM PROPERTY LTNES D E) lS SIGN LIGHTED? YES (must meet stote electricol code)
E E) PARKING LOT ENTRANCES (sign must be in legal zone for lighting ond type)
tr F) DISTANCE OF SIGN FROM RIGHT OF WAY
EG) EXTSTTNG S|GNS LOCATTON & AREA
D H) lS SIGN LIGHTED? YES (must meet stote electricol code) (sign must be in legol zone for lighting and type)
Fee: S1fi)* - 575.00 refundable at time of final inspection and photo of completed sign.
tAn extra 565.00 charge will be applied to any powered or lighted sign.
Signature of Applicant: Teresa P. Stone 9319. November 5,2012
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 !444&rexbglg€Ig for regulation information.
For Offrce Use Only:
Receipt Codes: (Regular) l, I PZ: $25.00 [ ] PZSD: $75.00 (For Electrical Add) [ ] ELEC : $40.00
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
o
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DATE
DH APPROVAL
CG APPROVAL
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CITY OF
REXBIIRG
Am e r i cai Fam ily Co mmunity
DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
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CLAIMANT OR HIS AGENT SIGN HERE
REX{L'RG city of Rexbur, a)Department of Community Development ReceiptNumber: ry*!.tE*a
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 I Fax (208) 359-3022
1200502
r2 00502
RPRRXB1033 SignDeposit
RPRru(Bl033 Sign Permit
$7s.00
$25.00
$100.00
CREDIT CARD N/A $ r00.00
Total:$100.00
ix
genpmtrreceipts Page 1 of 1
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
40 Coi, Printar
Page I oflmg
Transaction taken by: marianna
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l Transaction detail for payment to City of Rexburg.Datez 1110712012 - 3:33:39 PM
Transaction Number: 17 61 587 1PT
Visa - XXXX-XXXX-XXXX-2995
Status: Successful
Description Reference #Amt per ltem S ltems Iotal Amt
PZ PROCESSING FEE $25.00 1 S25.aa
Notes: sign permit landmark signs
PZ SIGN DEPOSIT $75.00 I 575.0A
Notes: landmark signs permit
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Transaction Details
; ) Transaction detail for payment to City of Rex
Account # lltem
Transaction Number: 1 9451 828PT
Visa - )(X(X-XXXX-XXXX-2995
Status: Refunded - Refunded
Billing Information
TERESA STONE
, 83401
,l
1
I Transaction Notes: REFUND PERMIT#12 00502 BELOVED FAHIONS
1
i
I
f..e# l
Extended Amounl:
S-75.aa:
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@ Copyright 2003 - 201 3 Xpress Bill Pay LLC
ar-r col, Frinter i-l i rri.ter rr.mat @ ]
Date: 03/18/2013 - 11:46:51
$-75.00
TOTAL:-75.00
Transaction taken by: marianna
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