HomeMy WebLinkAboutApplicationLCGwrfield County
Community Development Department
108 8'4 Street, Suite 401
Glenwood Springs, CO 81601
(870) 945-8212
www.garfleld-cgunty.com
APPLICANT
SIGN PERMIT
APPLICATION FORM
owner/Hppncani RL -0 '60A.)
Name: _ � .. . �L���..,� .�,— 7An+4Phone: (%O 1. to 6-707q
Mailing Address: _-," N.1'411A C/_t rJ _
City: IJP G_s_.A__ State: a Zip Code: S I
E-mail:.i��-� 'F.A C'��tt Gtiu..e:-•�+x.��-. c:ou,.,�
Representative (Authorization Required)
Name: MiGRo Phone:(
Mailing Address: S3J /Rmt%_RQ,oA AOL -
City: i t State: 4o Zip Code: 3 l (,, z
E -ma
SIGN INFORMATION
Assessor's Parcel Number: -
Physical/Street Address: "� _ M10
� rr
Zone District: Sign Height: 13 ' a Sign Size (sq.ft): m,5-
❑ Sign Is Illuminated
❑ Sign is Located on the Same Property as the Associated Business
* *Applicant shell submit a detailed sign site plan, and a rendering of the proposed sign Including
specifications. Engineered drnwings may also be required.***
I have read the statem is above and hhaaver provided the required attached Information which is
correct and accurat th est of my M-0wiedge.
Signature of ireoperty Owner Date
OFFICIAL USE ONLY
Permit Number: Fee Paid: $
n
Approval Date: (' 95 }�j, f l ($25 + $1 per square foot of sign area per side)
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