HomeMy WebLinkAboutApplicationGarfield County
Community Development Department
108 81h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.itarfield-counW.com
APPLICANT
SIGN PERMIT
APPLIGATIQN FORM
Name: 3 Aero -- vA Phone: ( 1110P 4 qy Ll
Mailing Address: H S GR -x L-4- -
City: State: Zip Code:
Representative (Authorization Required)
Name: -VA l Gfta> •nYt m ey _ i� •�r•�n�,►r �a.1�_t_r1t= Phone: `t( z6
Melling Address 2
City: "?z State: CZip Code:
E-mail:_.a..�e s� �.t►rt i �' #, �N .
SIGN INFORMATION
Assessors Parcel Number:
Physical/Street Address:
Zone
District: Sign Height: 15 x 1 i. w Sign Size (sq.ft): 1-4 R
G Slgn Is illuminated
O Sign is Located on the Some Property as the Associated Business
sssApplkm t shall submit a detailed sign site plan, and a rendering of the proposed sign Including
speciflcatlons. Engineered drawings may also be requlred.sss
I have read th stata�nts above and ove provided the required attached information which is
correct an accurst:o the est of wledge.
Z1 3NJ o)
gnature of proplrty Owner Date
OFFICIAL USE ONLY
Permit Number: Fee Paid: $ �—
Approval Date: . = ' ) r7 ($25 + $1 per square foot of sign area per side)
1 (.0 -- --
CII)
Z
c