HomeMy WebLinkAboutAFFIDAVIT - 23-00090 - Springhill Suites - 1177 S Yellowstone Hwy - Sign
PERMIT AUTHORIZATION AND CONSENT FORM
PROJECT INFORMATION
PROJECT: SPRINGHILL SUITES BY MARRIOTT – REXBURG, ID
SITE ADDRESS: 1177 S HWY 191, REXBURG, ID 83440
LANDLORD INFORMATION
NAME: __________________________________________
ADDRESS: ______________________________________
CITY/STATE/ZIP: _________________________________
PHONE: _________________________________________
To Whom It May Concern,
I am a duly authorized representative of Coast Sign Incorporated, for the above
referenced address.
In my capacity as Landlord/Landlord’s representative, I approve the
recommended signage for the above reference location. I further authorize
Coast Sign or its representative to obtain a permit in Vendor’s name. All permits
for the sign program hereby consented by Landlord.
AUTHORIZED BY (print name and title)
AUTHORIZATION SIGNATURE DATE