Location Address
Owner's Mailing Address
Type of Work
Type of Sign

In feet

In feet

Individual letters of attached directly to Fascia Building

Square feet

Other signs on premises?
Special Notes

Building Permits are required for ground, all roof and building signs projecting more than fifteen (15) inches from the wall and/or more than 100 square feet in area.

Electrical Permit is required for a mechanical or illuminated sign. Attach 3 copies of a scaled drawing of the proposed sign.
Attach 3 copies of a scaled site plan of the property, if free standing sign.

I hereby certify that I have the authority of the owner to make the foregoing application, that the application is correct, and that the sign erection will advertise the legal use located on the same property as the sign and conform to the Zoning Ordinance and the Building and Electrical Codes, as appropriate.