Application Sign Permit Page 1 Applicant Date: OwnerAgent First Name: Last Name: Phone: Cell: Fax: Email: Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code Business First Name: Last Name: Business Name: Is Business Mailing Address different from above: YesNo Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code Page 2 Sign Information Street number / address and legal description of property where sign is to be located. Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code Practical Property Description: Parcel Number: Legal Description: Acreage or Square Feet of Parcel: Existing Zoning: Property Owners Owner 1 First Name: Last Name: Phone: Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code: Owner 2 First Name: Last Name: Phone: Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code: Page 3 Contractor / Erector Contractor First Name: Last Name: Phone: Cell: Fax: Email: Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code: Erector First Name: Last Name: Phone: Cell: Fax: Email: Address: City: State: Please select...ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code: Application shell each of the following items: Type of Sign: Permanent Temporary Evidence of Contractor License, if applicable: Complete Incomplete Comments Comments: Legible accurately scaled plan including specific location of sign(s) &, setbacks to adjacent property lines &, buildings: Complete Incomplete Comments Comments: A detailed accurately scaled drawing indicating the dimensions, materials, and colors of the proposed sign structure. A certification by a structural engineer may be required by Staff for a freestanding or projecting sign: Complete Incomplete Comments Comments: Graphic drawing or photograph of the sign: Complete Incomplete Comments Comments: Description of lighting to be used including listing of energy conservation measures incorporated in sign (light fixture type(s), materials used etc.), fixture specifications, bulb type, wattage and placement, and an estimate of energy consumption by sign: Complete Incomplete Comments Comments: If sign is located off the premises listed in application, written lease or permission from property owner on which sign is located. Complete Incomplete Comments Comments: Payment of nonrefundable sign permit fee: Complete Incomplete Comments Comments: Authorization Signature: Date: Signature: Date: Need assistance with this form?
