Sign Permit Form - Timnath, Colorado

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Case#: SG-_____-_____
SIGN PERMIT
Proj. Name: _________________
(Fee Agreement)
Planning Department
970-224-3211
I.
Contact Information (please attach any additional contacts)
Owner:
Telephone:
Address:
Fax:
E-mail:
II.
Contractor/Company Name
Applicant:
Telephone:
Address:
Fax:
E-mail:
III.
Contractors License
Yes
No
Description of location of sign
Development:
Address or Location:
Zoning:
Use:
IV.
Purpose of Sign:
V.
Certification:
Must be signed with
BLUE
INK.
I certify that I am the lawful owner of the parcel(s) of land which this application concerns and consent to this action.
Owner:
Date:
I certify that the information and attachments I have submitted are true and correct to the best of my knowledge. In filing
this application, I am acting with the knowledge and consent of the property owners. I understand that all materials and fees
required by the Town of Timnath must be submitted prior to having this application processed.
Applicant:
Date:
Applicant, please do not write below this line.
Fee(s)
Check
Received
Paid
Date:
#:
By:
File Location: L:\OFFICE INFORMATION\TEMPLATES\APPLICATIONS\WORD DOCUMENT\SIGN PERMIT TECH FORM.DOC
Last Saved: 7/11/2011 6:18 PM
Page: 1 of 2

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