Sign Permit Application

Printable Form

Sign Permit Application

Permit No.

Receipt No.

Applicant / Contractor Information

Name:

Phone:

Email:

Site Information

Property Owner:

Phone Number:

Email:

Property Mailing Address:

Site Address (If different from above)

Parcel ID:

Acreage:

Zoning:

Sign Information

Sign Type:

Wall Mounted

Projecting

Free Standing/Monument

Awning/ Canopy

Dimensions:

Square Footage:

Height from Grade to the Top of the Sign:

Illumination:

None

Externally Illuminated

Internally Illuminated

Electronic Message Board

Is the sign within a Special Flood Hazard Area?

Yes

No

Other

Is the sign within 100 feet of the flood hazard area?

Yes

No

Staff Comments / Conditions of Approval

By signing this document, I am making this application in good faith of the Greendale Municipal Code Sections 156.001- 156.060 and agree that any deviations from the original submittal will render this application null and void and I agree to bring the sign into compliance immediately with notice of the local code official.

Applicant Signature:

Date

City Official Signature:

Date