Sign Permit Application

Sign Owner Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Lot Number

Block Number

Subdivision

Liber

Folio

Election District/Tax Account Number.

Owner of Premises

Owner's Phone Number

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Type of Work

Erect new sign

Replace existing sign

Reface or alter existing sign

Validate existing sign

Type of Sign

Ground (freestanding)

Building - Roof

Building - Projecting

Billboard (off-site advertising)

Temporary real estate (up to 6 months)

Total Street Frontage

In feet

Width of Building Front

In feet

Location on Premises

Principal Wording

Individual letters of attached directly to Fascia Building

Yes

Construction Cost

Dimensions of Sign

Total Area

Square feet

Distance of main building from front street line

Other signs on premises?

Yes

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.

Digital Signature

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.

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