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Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.earfield-county.com APPLICANT Owner/Applicant Name: JSK Holdings LLC Mailing Address: 3768 HY 82 City: Glenwood Springs E-mail: SIGN PERMIT APPLICATION FORM Phone: (414 ) 651-1783 nigorders@gmail.com State: CO Zip Code: 81601 L Representative (Authorization Required) Name: Roaring Fork Sign and Lighting Phone: (970 )963-8190 Mailing Address: PO Box 931 aty: Carbondale E-mail: rfsign©gmail.com state: CO Zip code: 81623 SIGN INFORMATION Assessor's Parcel Number: 2185 262 00 008 Physical/Street Address: 3768 HWY 82 Zone District: Commercial Limmited Sign Height: See attached Sign size (sq.ft): See attached B Sign is illuminated 8 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 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. Signature of Property Owner OFFICIAL USE.ON Permit Number: Date Approval Date: /- Fee Paid: $ ($25 + $1 per square foot of sign area per side) NETWORK