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660 L~. Watertower T~ S~ 100. Rya, Ifl 83642 ~P)t<®e 8g7-~Zll / Fu 887-127
C C L iii PE `~' PICA`i'I
1. Legal Description: L,ot >31ock Subdivision ~ ~~
~. Street Address (City will assign;fnew constnxtion); ~ ~ `
3. ~Wlter (if other than Contractor): ~e
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4. Sign Contractor: ~ yi Phone ~~~° 6~' (~ o
5. Project Name:1~~ ~ ~. °~ ~3`'-u~v,, ~~~
6. I hereby submit this Commercial Sign Permit Application to construct or install:
^ New commercial free-standing sign(s). Number of signs
^ Illuminated (must obtain electrical permit)
New commercial wall sign(s). Dumber of signs -~
Illuminated (must obtain electrical permitl
^ Planned sign program. Number of signs
* Complete Planned Sign Program application form
7. Value of sign $ (~O 0 . "~
IZeauired Plans and Specifications (Please submit two (2) copies o the ollowlrr )°
•Complete text to appear on sign (business grams, logo, subtitles, etc.),
including size & lettering style (font).
•Overall sign ditnensiogts (including base, wall area, background area)
•Construction materials
•Sign and lettering colors v include color samples or paim chips
•Exact, scaled location of sign on property or building. Include building elevations, property lines
~i any adjacent sidewalks, rights of way from center of streets, landscaping, screening.
DECLARATION: I hereby certify that I have completed this application in a true and correct manner.All City of Me dian ordinances will
be complied with whether specked herein or not The granting of a permit does not presume to give authoity to violate or cancel any state
or local law regulating construction.
Signatu Owner or owners Authorized Agent ~ Date"
OFFICE USE ®NI,Y
Sign Permit Fee: S
(/l~ ~ --_-_ _-____
Planning & zoning Approval:
Building Department Approval:
Date: ~~ 0
Date:
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