APPENDIX D: APPLICATION FOR A SIGN PERMIT

Editor's Note: Appendix A through Appendix I are available in PDF, click HERE

FEE $                

1.   Applicant's Name                                                                                                                

Address                                                                                                                              

Phone Number                                                                                                                    

2.   Property Owner                                                   

Address                                                                                                                              

Phone Number                                                                                                                     

3.   Licensed Sign Erector's Name                                                                                             

Address                                                                                                                              

Phone Number                                                                                                                     

4.   Description of sign including size, materials and height:

5.   A diagram of the proposed sign and its location on the property is attached.

Date                        Applicant's Name

6.   Paid: Cash                     Check                  Date                 Receipt No.              

Based upon the information contained in this application and accompanying diagrams, a sign permit is:

Approved                                                 Denied                                                         

Reason for denial                                                                                                                     

Date                              Signature