Sign Permit Application Form Page 2

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Description of Work:
(If more space is needed, attach additional sheets)
The applicant shall submit a general description of the proposed work and a list of
materials for construction of sign
Plans and Specifications:
(If more space is needed, attach additional sheets)
The applicant shall submit a copy of the specifications and plans drawn to scale, with
clarity and detail dimensions to show the nature and character of the work to be
performed.
Plot Plan:
The applicant shall clearly identify the location of the sign.
Plot Plan
For Applicants Use
I hereby certify that the proposed work is authorized by the owner of record, and that
I have be authorized by the owner to make this application as his/her authorized agent
and that we agree to comply with all Township requirements for the above referenced
work and understand that this is an application only, and that no work may begin until
the actual permit for work issued by the Township.
Signature of Applicant_____________________________ Date_______________
Revision 01/09/08

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