HomeMy WebLinkAboutApplicationGurfield County
Community Development Department
108 8tn Street, Suite 401
Glenwood Springs, CO 81601
(970194s-82L2
www. garfi eld-counW.com
SIGN PERMIT
APPLICATION FORM
APPTICANT
Owner/Applicant
Name:(q*0 qqs-sqo I
Mailing Address:q 0 3l
City:State:Co zip code: F'l( 52
E-mair: h . n' lqll Q fAP ,Co rr,,
Representative (Authorization Required)
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a Phone: 810 ') lLg -gLlt ?Name:
Mailing Address:o
City:Zip Code:
E-mail q
SIGN INFORMATION
Assessor's Parcel Number: Ztl1 f O oo t-7 ?-
Physical/Street Address:v
Zone District: K Sign Height:Elq Sign Size (sq.ft))L
tr Sign is llluminated
tr 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.neered also be * *rt
I have read the statements above and have provided the required attached information which is
correct and accurate to the best of my knowledge.
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Permit Number: sre ru- (9Ob
Signed Approval Approval Date
5-l 60
Q -rc-L+
OFFICIAL USE ONLY
(S25 + 51 per square foot of sign area per side)
Permit Fee:
Signature of Property Ow(er Date