HomeMy WebLinkAboutPERMIT APPROVAL FORM - 05-00104 - Rexburg Rehabilitation - SignO�R�URCi
� a
a
�s
o
�
v f* 0/ Re xw/� - CITY OF REXBURG
P.O. Box 280
STATE OF IDj to
OFFICIAL OFFICIAL SIGN PE0500104
FIXED SIGH° Rexburg Rehabilitation Sign
DATE: - Dd-
TIME:
-ISIGN PERMIT # S-
OWNER NAME:
SITE ADDRESS
CITY/STATE/ZIP:
TELEPHONE
MOBILE
CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
TELEPHONE
MOBILE
SIGN APPROVAL PROCESS COMPLETE OR PROBLEM AREAS
SIGN REVIEW TO MEET
CURRENT SIGN CODE
initials
APPROVED
refer to notes for reason('s) for denial
DENIED
ENGINEER REVIEW TO MEET
CURRENT CITY BLDG CODE
Initials
APPROVED
refer to notes for reason('s) for denial
DENIED
PLANNING AND ZONING ADMINISTRATOR I initials
OR PLANNING & ZONING REVIEW refer to notes for reason('s) for denial
APPROVED
DENIED*
CONDITIONAL USE PERMIT
REQUIRED
YES
if yes are all conditions met?
APPROVED OR N/A
NO
refer to meeting notes attached
DENIED
red marks indicate areas needing correction before sign can be approved
number marks
notes:
Fr
Ode
Signature Of Approval By Ci
signature to be signed
by planning & zoning administrator
or the city clerk after 4 categories approved
F��gVRC
O
a � �
Vt%s �
QeCISHE� �
lei* CITY OF REXBURG
P.O. Box 280
STATE OF IDAHO Rexburg, Idaho 83440
OFFICIAL SIGN PERMIT APPROVAL FORM (208) 359-3020 Fax (208) 359-30-3022
FIXED SIGNAGE
DATE: - Dom-
TIME: lZ - SIGN PERMIT # S-
OWN ER NAME,
- 'y' 0!! K /,.r� /O , J
SITE ADDRESS
6,4,c-- �� o ��o• o �-/
CITY/STATE/ZIP:
— ,e4
TELEPHONE
:
MOBILE I,3p - 4a_ pZ
CONTRACTOR'S NAME �-
CONTRACTOR'S ADDRESS
TELEPHONE
MOBILE
SIGN APPROVAL PROCESS COMPLETE OR PROBLEM AREAS
SIGN REVIEW TO MEET
CURRENT SIGN CODE
initials
APPROVED t
refer to no for reason('s) for denial
DENIED
ENGINEER REVIEW TO MEET
CURRENT CITY BLDG CODE
Initials
APPROVED 4
refer to notes for reason('s) for denial
DENIED
PLANNING AND ZONING ADMINISTRATOR I Initials
OR PLANNING & ZONING REVIEW refer to notes for reason('s) for denial
APPROVED
DENIED
CONDITIONAL USE PERMIT
REQUIRED
YES
INO
if yes are all conditions met?
APPROVED OR NIA
refer to meeting notes attached
DENIED.
red marks indicate areas needing correction before sign can be approved
number marks
notes
A9.2oveZ2>
Signature Of Approval By City.,
signature to be signed
by planning & zoning administrator
or the city clerk after 4 categories approved