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2. Date of Application:
   Date of Application:
4. First Name:
5. Last Name:
7. The name of my business is:
9. The sign will be displayed at this address:
11. I can be reached at:
12. My email address is:
14. My Driver's License or State Issued I.D. Number is:
16. I will display a:

    1. Portable Sign*
    2. Wind Sign or Commercial Banner
17. From:
    From:
18. To:
    To:
20. If "Portable Sign" is checked, select the number of times the sign has been displayed. Portable signs may be displayed 3 times a year for 30 days at a time. Display periods may be consecutive.

    1. 1
    2. 2
    3. 3

    *Portable signs with electrical service require an electrical permit.
21. If "Wind Sign or Commercial Banner" is checked, select the number of times the sign has been displayed. Wind signs and commercial banners may be displayed 8 times a year for 15 days at a time. Display periods may not be consecutive.

    1. 1
    2. 2
    3. 3
    4. 4

    1. 5
    2. 6
    3. 7
    4. 8
23. Certification:
    By submitting this application, I agree that all information provided above is true and correct. I understand that failure to permit the sign is a violation of the Zoning Ordinance. Furthermore, I have read and agree to abide by the provisions in Section 114-220 of the Zoning Ordinance.
25. For Office Use Only:
    Case No.: __________ Reviewer Initials & Date: __________ Approved & Date: ___________
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

* indicates a required field