HomeMy WebLinkAboutApplicationGarfield County 1
Community Development Department
108 8h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945.8212
www.garfield-county.com
APPLICANT
Owner/Applicant
Name: / G 4te
P
Mailing Addres
City: 66/1/1110
E-mail:
Representative (Authorization Required)
Name: Phone:1 )_
Mailing Address:
City: State: Zip Code:
E-mail:
SIGN PERMIT
APPLICATION FORM
Phone: (__1 " ; 7
JY(1iD (f State: CO Zip Code: emo,
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SIGN INFORMATION
Assessor's Parcel Number:
-
Physlcal/Street Address: 6,3 #7,4 (O t 2 14/4)4-/
Zone District: Sign Height: /9 " Sign Size (sq.ft):
�0 Sign Is Illuminated
) Sign Is Located an the Same Property as the Associated Business
***Applicant shall submit a detailed sign site plan, and a rendering of the proposed sign Induding
specifications. Engineered drawings may also be required.***
I have read the statements above and have provided the required attached Information which is
corr anda
the t of my knowledge.
Signature • • roperty Owner
Date
OFFICIAL USE ONLY
Permit Number: SIGN- \ ---C1 Permit Fee: $
(525 + 51 per square foot of sign area per side)
Approval Date: VD
.oa
Signed Approval RL)? / d "! 3 - 17
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