HomeMy WebLinkAboutAPPLICATION - 17-00607 - Madison Memorial Hospital - Sign17-Jo(-a6�
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Rexburg, ID 83440 Sign Permit Application �; 'e _ C II TT�y�O OF
PlanningZoning@rexburg.org
.orig exburg.org T� , XB V 1\G
www.raxburg.org
City of Rexburg 1�+
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Amerimi Family (bmmuniry
Phone: 208.372.2348 Fax: 208.359.3022 Hotline: 208.372.2344 or Text: inspections®rexburg.org
Fixed Signage
Applicant Information I
Owner Name: _/vtM,c&A Nieg+nem'u,l jty%R;�(
Site Address: X150 C, iila;hSL
Mailing Address: 4 So E. Acvm / City/State/Zip: IK56bu Yg TO
Telephone: Mobile: T
Contractor Information
Contractor's Name: — A SwI, Email: <a/e.S,S5-2�
Contractor's Address: i`id . Elva k'
_City/State/Zip:..," /15 cc>1,
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Contractor's Phone: (ZOS) Szz - f }SC Mobile:
Electrical/Specialty Contractor Information (for powered or lighted signs)
Contractor Information
Contractor's Name: A'K Sg < License#: 5C W16 Exp Datet:K e,"Ji7
Contractor's Address: 1,Yd L. hNa City/State/Zip:
Contractor's Phone: y SLz-r 3S5 Email: 5a /e5, SS7- ( �<> s1S" P
Contractor's Signature: �rz oDate: DCI- Z, Lo/7
Sign Information
Sign Area sci ft: _ '30, q Sign Height (from ground): ) )Z rat r 5
Sign Description: 5,114ie -,V CW, Lf'D,hlIxnkrlll b)I- vkonuu L-6,,
For a Sign Permit it is mandate ry that you have the following information:
1. Z Sets of elevation drawings of a sign & (plot Plats If applicable)
2. Drawn to scale with dimensions and complete construction materials
3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
WALL SIGNS
1 PLOT PLAN TO SCALE SHOWING:
' A) SQ. FOOTAGE OF WALL (that the sign is on)
I !A) BUILDING LOCATION
C B) EXISTING SIGNS & AREA
❑ B) LOT SIZE
❑ C) NEW SIGN & AREA
C) NEW SIGN LOCATION
11 D) LOCATION OF SIGN ON WALL
'� D) DIMENSIONS TO SIGN FROM
PROPERTY LINES 11 E) IS SIGN LIGHTED? YES NO (must meetstate electrical code)
' E) PARKING LOT ENTRANCES (sign must be in legal zone for lighting and type)
F) DISTANCE OF SIGN FROM RIGHT OF WAY
G) EXISTING SIGNS LOCATION & AREA
! - H) IS SIGN LIGHTED? YES NO (must meet state electrical code) (sign must be In legal zone for lighting and type)
Fee: $100 - $75.00 refundable at time of final Inspection and photo of completed sign.
Initials:Oel -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 verify listing and labeling within interior of the sign.
Signature of Applicant: �� Date: 12}- "Z . ZC) /-7
Note: This document is for application proposes only. (the legal sign permit form must be signed by city officials before sign is approved)
For Sign Ordinance see Chapter 10 of the Development Code at www.rexburg.org for regulation information.
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23 in
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60 in
0.166" lexan faces
with cut vinyl
powder coated aluminum
cabinet frame --.
60 in
LEI) interior lit --
--------UL lieted
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