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HomeMy WebLinkAboutApplicationREC EIVJ?i .JUL ti 9 2015 GARFIELD COU Nl . 'MMUNITY DEVEl.OPM . i- Building and Planning Department 108 8'd'i Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-countv.com SIGN PERMIT APPLICATION FORM f APPLICAN'! __ Owner I Applicant --~ Name: Fo bb,1 /Mc fuazsoAI Mailing Address: //a)!) /l/1d/JJ St Phone: (9/o) 8'z6-23tJ I City: S, {f State: ~ Zip Cod e: 8j b f 2- E-mail : ____________________________ _ - Representative (Authorization Required) Name: k.T/C G eTJtn1J·{ fo~)+ Div~ /tf p,l L 7-zo ... c{TF~t7'l Phone: ( 303' ) S'>)-00/ 3 Malling Address : 5 ?_r;s ta k q-14 City: Ut f/;uc state:e ..... o...___ zip code: .... ~_U:>--.;;;;.s_o ____ _ SIGN INFORMATION Assessor's Parcel Number: .:1._ _, _~ !i_ -J_ _Q_ __l_ -.fi. .Q. -_Q 0 l Physical/Street Address: J Gz <\o /11 Brm S't Zone District: C\_~ Sign Height: 'Lt:; ff Sign Size (sq.ft): 70 S:.£ A Sign is Illuminated A Sign is Located on the Same Property as the Associated Business ***Applicant shall submit a detailed sign site plan, and a rendering of the proposed sign including ~ecifications. E~gineered drawings may also be req_uired. *** I have read the statements above and have provided the required attached information which is corr t nd "tiD best of my knowledge. 7-9-tC Signature of Property Owner Date @FICIAL USE ONLY I Permit Number: snu 378J'L ' Approval Date: '7-'f -/ 5 Fe-e -Pa-id-: $ __ q_5 __ . _0_0 ____ _ ($25 + $1 per square foot of sign area per side) 'PctCJ ':?-10 · 10:- ~ c;s-, a:J u \-sa I