INFORMATION #2 04-17-2006 - Laserfiche WebLink

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Permit Number: Sign Permit Application Form Property Information Address: Parcel Number: 75- - -- Legal Description: (attach if necessary) Applicant Information Name: Address: Street Phone (w): Fax: City Phone (H): State ZipCode Signature: Date: Owner Information Name: Address: Phone (w): Fax: City Phone (H): State ZipCode Street Signature: Date: I hereby certify that I have furnished information on this application, which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that this permit can be revoked for just cause. Furthermore, I hereby agree that the City Official or designee may enter upon the property to perform needed inspections. This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Submittal Requirements o Completed Application o Site Plan of Property Showing Sign Location o Building Elevations (Wall Signs) o Plans and Specifications Fee Schedule o to 100 sqft............... .$60.00 101 to 300 Square Feet:.. .$120.00 Over 300 Square Feet:.. ....$200.00 Temporary Signs:........ ...$30.00 plus $100.00 Deposit Temporary Sign Permit Deposits are returned to the applicant once the City receives a request in writing for the deposit. See page 2. Sign Information Sign Type: Wall _ Free Standing _ Temporary.. . Date(s) of Display: Sign Size: Width: _ x Height: _ = Sign Message: Square Feet Planning Department Date Building Department Date S:\PLANNING\Forms\Sign Permt Application Form.doc