E-Mail Address *
Owner
Phone #
Name
Mail Address
Site Address
City, State & Zip
Date
Description
Sign Value
Permit Fee
Receipt #
Type of change
Sign duration
--Select one--
Permanent
Temporary
Days
Sign type
--Select One--
Free-standing
Marquee
Projecting
Window
Wall
Single-faced
Double-faced
Canopy
Zoning District
Type
--Select One--
Residential
Commercial Dist 1
Commercial Dist 2
Industrial
PUD
Total # of signs
Free-standing
Wall
Canopy
Total sign area allowed (Sq. Ft.)
Free-standing area allowed (Sq. Ft.)
Free-standing area used (Sq. Ft.)
Wall sign area allowed (Sq. Ft.)
Wall sign area used (Sq. Ft.)
Sign lighting
--Select One--
Non-illuminated
Internally illuminated
Externally illuminated
Material
Face (Sq. Ft.)
Frame (Sq. Ft.)
Support (Sq. Ft.)
Approvals
Zoning
Structural
Electrical
Contractor
Contractor Name
Contractor Address
Contractor City, State & Zip
Contractor Phone #
Applicant or Authorized Agent
Signature *
