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Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com SIGN PERMIT APPLICATION FORM APPLICANT Owner/Apel icant ` LL L Phone: (90 ) S7( - ,-IV/ Name �''z4-, 644 e_. �, �G Mailing Address: j, City: �l r- State: C&� Zip Code: 0-145 E-mail: r'41 - In; n;) D 0b 0 nJ MA --;I . E-©�,,� I 1r1"i ' 31„4.4P-31„4.4P-1�It a . � Representative (Au horization Required) Name: � ago', 7'7cL)?4 -'�4� Mailing Address: (7 3 6 C --f< ,: '3 b City: 4t.' 4 State: ala Zip Code: _ 8/6 S E-mail: th k Ipr )ct `i E,1; , !+'-:- i. / 6 _0 k '1 SIGN INFORMATION Assessor's Parcel Number: / % S - Cd_ - C.) c€C'1 3 5.95 y 6-1i /, 5 ,' - 6) 0765.K Zone District: k VIMcvz t !1 Sign Height: /0 f Sign Size (sq.ft): 40 Sign is Illuminated .t 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 Physical/Street Address: 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. Aeldr Signature of Property Owner OFFICIAL USE ONF r JPerrnitNumber: t&N Fee Paid: $ 0 // '7 Date CoP /7 tcr Approval Date: Le�' 12t�1�_ ($25 + $1 per square foot of sign area per side) R ONOEHROMME MESSAGE CENTER Underwriters t 4 I7 52c, 1 if 0-E 4) %mop ' Lv'f "%0*% -1 Laboratories Inc. Bac FOR rx# UMW s�BK �^ ��� G %CL` 1 � 1 Spj � _ �t . CY DESIGN PROPERTY OF 'Rud S IMO 970-245-7700 © COPYRIGHT 1997 BUD'S SIGNS, INCORPORATED