2. Information:
   List the contact information of the applicant.
4. First Name*
5. Last Name
7. Street Number
8. Street Name
9. Street Type
10. Apt #
12. City
13. State
14. Zip
16. Phone number:*
17. Email address:
19. Who is erecting the sign?
21. First Name*
22. Last Name
24. Address1
26. City
27. State
28. Zip
30. Phone number:*
31. Email address:*
33. Location*
    What is the building, structure, address, or legal lot and block to which or upon which the sign is to be attached or erected?
35. Is the Applicant the Owner of the Real Property where the sign is to be located?*

    1. Yes
    2. No
36. * If NO, please provide written consent of and name, address, and telephone number of the property owner and a copy of the executed lease agreement
38. Date of which the sign is to be erected or displayed*
    Date of which the sign is to be erected or displayed
40. Site Plan
    This indicates position, height, and size of the proposed sign and other existing advertising structures on the property
41. Sign Display
    Specifications for construction and display
42. Stress Diagram
    This contains information as to safety and structural integrity of the sign. The city assumes no liability for safety and structural integrity of any sign
43. State Permit
    Copy of the permit approved by the state department of transportation, the state transportation commission, the county or successor agencies, if state law requires a state permit
45. Variance or Special Use Permit
    List any variance or special use permit that will be requested and specify reason for the variance or special use permit:
47. Signature *
48. Date *
    Date
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field