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APPLICATION FOR TEMPORARY OR PERMANENT SIGN

**Use only one application for each sign being applied for.**

The undersigned applies for a Zoning Permit for the following use.  Said permit to be issued on the basis of the information contained within this application.  The applicant hereby certifies that all information and attachments to this application are complete and accurate.

 Owner

 

 

 Owner’s Phone #

 

 Owner’s Address

 

 

 

 

         

 Builder

 

 

Builder’s Phone #

 

 Builder’s Address

 

 

   
 

 

 

 

 

 

LOCATION OF PROPOSED USE

Complete mailing address including zip code

 

 

 

 

 

 

Subdivision

 

Lot #

 

Parcel ID #

 

SIGN TYPE (check all that apply)

r      Temporary

r      Banner

r      Reader Board

 

 

 

Erection Date

 

Removal Date

 

 

 

 

 

 

 

r      Permanent

 

 

r      Wall

r      Ground Mounted

r      Pylon or Highway

Illumination

 

 

r      Internal

r      Direct

r      Backlit

r      None

r      Indirect

r      Other

 

 

 

 

 

 

Height

 

Length

 

Total Square Footage

 

 

Explain Use in Detail

PLEASE REVIEW AND CHECK THE FOLLOWING

r      I included a drawing showing the sign face copy and a plan depicting the exact location to be erected.

r      The sign cannot be erected within any parking or drive areas.

r      The sign will not impede pedestrian or traffic circulation.

r      In the instance of a temporary sign, it shall be securely affixed to the ground or an approved supporting structure in a permanent manner.

 

*Signature of Applicant

 

Date

 

 

*Applicant hereby affirms that he/she is a duly authorized agent for the subject property owner.