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SIGN PERMIT
APPTICATION FORMCommunity Development Department
tog gs Street, Sulte 401
Glenrrood Sprlngs, CO 81601
{9701 e45-8212
wun¡v. ea rf i el d.c o u q$¿.co m.
! have read the statements above and hàve provlded the required attached lnformatlon which ls
correct and accurate to the best of my knowledge.
Fttl- 23 -tI
PropefiOwner Date
APPL¡CANT
Appllcant (tu)-gl&M4
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Name:
Malllng Addressl
City:
city¡ carbondale- state:-9o Zipcode:- 81623
Phone;r 970 r928-8463
s¡g ns@so pris. netE-mail
arrow s¡g n and desiqn llcName:
Mailing Address:215 n. 1?th street unit d
Representatlve ßequlred)
SIGìI INFORMATION
{ Sien is llluminated
fl Slgn ls Located on the Same Property å5 the Assoclated Buslness
Sign Size (sq.ftl:t3S
Assesso¡'s Parcel Number:Tlooo -SJ--9t 5,-
Zone Distríct¡Slgn Helght:
PhysicallStreet Add ress :2s
'29 t
shall subrnlta detalled slgn slte plan,and a renderlng ofthe progosed sþ lncludlng
also he ata
rf 'Applicant
otFlçlAL usE oNLY
P€rmlt Number; SICN:Cn- lô- .a4?úa Permlt Fee:
-t8Slgned Approval Approval
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f$25 + $1 per square foot of slgn area per sldel
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DAY TIME
NIGHT TIME
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