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<br />~.;- <br /> <br />~~ <br />tfi~\r"~ <br />River <br /> <br />Poem"~ Numb<" n=:c. 0'1 Ii q <br /> <br />Planning Department <br /> <br />Sign Permit Application Form <br />(One Per Sign) <br /> <br />Property Information <br />Add,.<", 6VI 1114"~ 5~ <br /> <br />Parcel Number: 75- <br /> <br />-- <br /> <br />Legal Description: (attach if .necessary) <br /> <br />AI> . <br /> <br /> <br />Street <br /> <br />ttS <br />[IKK' <I' <br />City <br /> <br />It<.... s: 110 <br />State ZipCode <br /> <br />Name: <br />Address: <br /> <br />Phon< (w), 7t 1 ~ Fa., <br /> <br />2-<{I-8"3n- . 7.---?//.h~_ _ <br />Sign",,,., -;r.,../'//~---"'-< _ D,,<. <br /> <br /> <br />Owne. 'n(Oi~~; <br />Nam<. 1 p .,J ~,~;J <br />Add"". I I I1It i d <br />Street <br />Phon<(w), 7 L < tJl /JJ1 Fax, <br /> <br />Phon< ~-I), <br /> <br />'r)'~/T3 <br /> <br />tt kK.J:6 <br />City <br /> <br />M.-~JJ71(j <br />Stine ZipCode <br /> <br />Phon< (I-ij, <br /> <br />Signature: <br /> <br />Date: <br /> <br /> <br />I he~eby certify that J have furnished information on Ihisa p ication, hich is to the best of my kn I ge mle and <br />cor~ect. I also certify that I am the owner or authorized agem fo~ the above-mentioned propen a that all <br />conSlnlclion will conform to aU n:isting state and locallaWII and will proceed in accordance wilh :rubmim:d plans. I am <br />aWilre that this permit can be ~evoked for jUst cause. Funhermore, I hereby agree Iltat the City Official or designee milY <br />enter upon the property to pcrfo~m needed inspections. This permit becomes null and void if work or construction <br />a\uhorized is \1ot commenced wilhin 180 days, or if construction or work is su'pended or abandoned fora pe,;od of tllO <br />d..ys at any time after work j, commenced. <br /> <br />Submittal Requirements <br />a Completed Application <br />CJ Site Plan of Property Showing Sign Location <br />a Building Elevuions (Wall Signs) <br />o Plans and Specifications <br /> <br />Slvn Information <br /> <br />Sig!1 Type; ~ Wall _ Free Standing _ Temporary <br />"1Illb Date(s) of Display: <br />Sign Size: Width:4W"i Height: _ - _ Square Feet / <br />Sign Message: 2-lii:F+ X 1<6 se,p4(' "7'/ZR ~ So or/J':'- <br /> <br />Fee Schedule <br /> <br />o to 100 Square: Feet; <br />101 to 300 Squ;lore Feet: <br />Over 300 Square Feet: <br /> <br />$30,00 <br />$90.00 <br />$150.00 <br /> <br />Temporary Signs; <br /> <br />$50.00 Depo.:sjt <br /> <br />Temporary Sign Permit Deposits are returned to the applicant once the City. receives a request in <br />writing for the d osit. <br /> <br />c--- <br /> <br /> <br />Building Department <br /> <br />Date <br /> <br />Panning Depar ent <br /> <br />I< <br /> <br />.- ---..._._.~. <br /> <br />. ......-.._._-,-----_._.--~- ..---- <br /> <br />--..-------------. <br /> <br />----.---------.---.-----.. <br /> <br />.__._.__.___._._,._.._____~,________.._____'_"'.._ ___.__..._m .__.. <br />