Sign Permit Application Form

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New Britain Township
Sign Permit Application
Office Use Only
Date Received:____________________
Date Issued:_________________
(Township Official’s Initials)
Important
Applicant To Complete All Items
Identification
1. Proposed Work At:____________________________________ Lot#____________
(Streets and Street Name)
2. Tax Parcel Number:_____________________________________________________
3. Name of Applicant:_____________________________________________________
Address:_____________________________________________________________
City:____________________________________________ Zip:________________
Phone:_______________________________________________________________
4. Name of Owner:_____________________________________________________
Mailing Address:_______________________________________________________
City:__________________________________ Sate_________ Zip:_____________
Phone:_______________________________________________________________
5. Name of Contractor:____________________________________________________
Address:_____________________________________________________________
City:____________________________________________ Zip:________________
Phone:_______________________________________________________________
Sign Information
[ ] New Sign
[ ] Replacement
[ ] Permanent
[ ] Temporary - How Long?__________________________
Purpose of sign__________________________________________________________
Size of sign: Length _____________ Width_______________ Height_____________
Electric Lighting [ ] Yes [ ] No - If yes, what?_________________________
_________________________________________________________________
Colors of sign______________________________________________________
Exact wording of sign________________________________________________
Is wording on one side [ ] or both sides [ ]?

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