Sign Permit Application

I agree to perform the work described herein in accordance with the plans and/or specifications submitted and with all provisions of the Sign Code, Building Code, and other applicable regulations.

* required

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

Sign type

Zoning District

Type

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

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 *

Please type the word from the image in this field.

Hours:

Monday thru Friday
8:00 a.m. to 4:30 p.m.

Closed Noon to 1:00 p.m.

Office:

207 S. Brownson Ave.
P.O. Box 208
Kingsley, MI 49649

(231)263-7778 office
(231)263-2278 fax