HomeMy WebLinkAboutApplicationGørfield County
RECEIVE
munity Development Depârtment
108 8'h street, Suite 401
Glenwood Springs, CO 81601
19701945-82L2
www.earfleld-eountv.com
**rAppllcant shall submlt a detalled slgn slte plan, and a rendering of the proposed sign lncludlng
speclflcatlons.Enslneered also be *r¡rl
I have read the statements above and have provided the required attached information which is
correct and to the best of my knowledge,
of Owner Date
SIGN PERM]T
APPLICATION FORM
APPLICANT
Owner/Applicant
Name:Êlt t
Mailing Address:
City;('Û . Zipcode , .e//'Òl
E-mall
Representative (Authorlzatlon Required)
Name T*,.1 ('^ *L*nt Phone: t?')o I 6lF-?t*'3
Mailing Address
City:ft, - Zip code;?t/"a/
E-mail
SI€N INFORMATION
Zone Distrlct: Slgn Height
Ek Slgn ls llluminated
& Sign is Located on the Same Property as the Assoclated Buslness
o>þåtggAssessor's Parcel Number:
Physlcal/Street Address:
Sign Size (sq.ftt: /:(" ,
far-çioe'
-3¡2/
OfTICIAt UsE ONLY â(i;¿ . ""'*r' g{
Perm¡t Number:slcN- \O-lq - @e3 Permit Fee: $'\\1^lsri
($25 + 91 p"r rquárå ioót of rign area per side)
Signed Approval la'21-t Approval Date
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