HomeMy WebLinkAboutApplicationiA3
Garfield County
Community Development Department
1088 1h Street, Suite 401
Glenwood Springs, CO 81601
(970)945-8212
www.garfield-county.com
SIGN PERMIT
APPLICATION FORM
i APPLICANT _
owner/Applicant
Name ,��CfS BARK �5P�c�C� 'Sc►zH� Phone: ( f s 3 —��
Mailing Address: '5—P �ef C R 3-3)
City: J' I L'T State: C 0 Zip Code: $ i (0 5 2—
E -mail: C HAKLk_ _TP'R rti r-- ly o (C N • 11
Representative (Authorization Required) ��T —
Name: X•414 4'5Tlci 'Nc. (pWjCN-7-F-sc;,AR)Phone: i '? ) `74-g
Mailing Address: 240-4 2 "A '51
City- GI L,r+ tj I,s u o 0 S P R i A1C 5 State: C 6 Zip Code -
E -mail: W 1 Q H `� (—Z 5 1
SIGN INFORMATION
9((.10
Assessor's Parcel Number: 2 i -79 1 IH_ Cy O
Physical/Street Address: _S—s e' C 33 I S� I f, Co
t, -
Zone District: A4- R IC UL i "t- Sign Height: A- f"" "I Sign Size (sq.ft): 134 s4,O T.
❑ Sign is Illuminated
❑ Sign is Located on the Same Property as the Associated Business
***Applicant shall submit a detailed sign site pian, and a rendering of the proposed sign including
specifications. Engineered drawings may also be required.***
I have read the statements above and have provided the required attached information which is
correct and accurate to the best of my knowledge.
l �3�CcJ�I
Signature of P4'rtyy�Owner Date
(3tFlCIFIt 135E ONLY
Permit Number: SIGN- a 8 - 21- 7. 4Tg Permit Fee:
($25 + $1 per square foot of sign area per side)
lic C� A roval Date: �"
Signed Approval pp _