HomeMy WebLinkAboutPERMIT APPROVAL FORM - 05-00111 - Da Pineapple Grill - Signzj! A =I-ve
STATE OF 1DAHO
OFFICIAL SIGN PERMIT[' APPROVAL FORM
FIXED SIGNAGE
CITY OF REXBURG
P.O. Box 280
Rexburg, Idaho 83440
(208) 359-3020
Fax (208) 359-3022
DATE: - _
TIME: / 3.
SIGN PERMIT* S- p
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OWNER NAME:
SITE ADDRESS
3 Sd
CITY/STATE/ZIP:
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XID
TELEPHONE
MOBILE I ,c>
CONTRACTOR'S NAME
— S.G.V �,� is S•»•'r`!
CONTRACTOR'S ADDRESS
TELEPHONE 2 7
— wz
3 a
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 lnitials
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 NIA
refer to meeting notes attached IDENIED.
red marks indicate areas needing correction before sign can be approved
number marks
notes:
`o '210 ZAJ
e._04wemoex..,
Signature Of Approval By City.
signature to be signed
by planning & zoning administrator
or the city clerk after 4 categories approved
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STATE OF IDAHO
CITY OF REX 3URG
P.O. Box 280
Rexburg, Idaho 83440
(208) 359-3020
Fax (208) 359-3022
DATE:
TIME: /
SIGN PERMIT #
OWNER NAME:
,� �v
11
SITE ADDRESS
CITY/STATE/ZIP:
TELEPHONE
MOBILE I,v
CONTRACTOR'S NAME
— ;GN
CONTRACTOR'S ADDRESS ,3
TELEPHONE 2 _ 7 7
MOBILE / ..e, 99
54
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
I 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 Ag
DENIED -
CONDITIONAL USE PERMIT
REQUIRED
YES .
if yes are all conditions met?
APPROVED OR N/A
refer to meeting notes attached
DENIED.
red marks indicate areas needing correction before sign can be approved
number marks
notes:
Si nature Of Approval By City
•
signature to be signed
by planning & zoning administrator
or the city clerk after 4 categories approved