HomeMy WebLinkAboutApplicationGurfield County
ç+. f. fi Ha l,ÇçEInunity Development Department
108 8tn Street, Suite 401
,, ,t i :i .': Glenwood SPrings, CO 81601
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SIGN PERMIT
APPTICATION FORM
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I have read the
a accu
above and have provided the required attached information which is
best of my knowledge.
APPLICANT
Owner/
Name:
cant
8zMailing Address:
City:
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(o zip code: ffi eZ\-a)
Representative (Authorization Required)
Name:Phone:
Maili
City:
ng Address: ¿sÒ
(r¡ zip code: 9l(Z\
E-mail
S¡GN INFORMATION
Assessot's Parcel Number: Zlq I -'3tZô æ ^T
Physical/Street Address:I
Zone District:Sign Height:?Ð'Sign Size (sq.ft):Ré
É Sign is llluminated
É 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 incl uding
specifications. Engineered drawings also be ired.***
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Signed Approval
Permit Number: slGN-S -pâ -8âß-F
OFFICIAL USE ONLY
Permit Fee: $
(S2S + $f per square foot of sign area per side)
Approval -"-73
Signature Owner Date
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