Sd Eform 2361 - Permit Application For Business Signs On Specific And Supplemental Information Panels Form - South Dakota Department Of Transportation Page 2

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INSTRUCTIONS
NAME OF BUSINESS: Self Explanatory
ADDRESS:
Self Explanatory
BUSINESS LOCATION DATA:
1. Highway No.: The route number of the highway on which you want to place a business sign.
Interchange No.: If the business sign is requested to be placed at an interchange, the exit number of that
interchange.
Intersecting Highway Numbers: The route number of the highway that intersects the highway on which you
want to place a business sign.
Direction: Direction the business is located from the intersection or interchange.
2. Travel Distance: The distance from the exit ramp terminal of an interchange or the intersection to your place of
business along the normally used route of travel measured to the nearest one tenth of a mile. Businesses
beyond 15 miles are not eligible for a business sign.
3 - 7.
SERVICE DETAILS: Circle the type of business sign you are requesting. If you do not provide all the
services listed beneath it, you may not be eligible for a business sign.
8. Examples of Licenses: Sales Tax, Health Department and any other state or local applicable licenses or
permits.
9. Gas Service must be open a minimum of 16 continuous hours a day. Food Service must be in continuous
operation to provide 2 meals a day.
10-12. Business must be open five (5) days a week for four (4) consecutive months as a minimum requirement for
approval of this application.
13. If you are requesting business signs to be placed at an interchange, check “Specific” and “Supplemental” or
“Both” as both a specific and supplemental sign are required at all interchanges. If the request is for an
intersection, check “Specific” only as this is the only type of sign allowed.
14. Place a check after the lane of travel from which you want the business sign to be seen as the traffic approaches
the interchange or the intersection. If you want business signs to be placed on both sides of the interchange or
intersection, check “Both”.
15. A $50.00 application fee is required for each business sign that is requested. If the request is for a sign to
be placed on a specific and a supplemental panel for one exit ramp of an interchange, the application fee is
$100.00. If the request is for signs to be placed on both exit ramps, the application fee is $200.00. Enter the
amount being remitted and the number of each type of sign requested.
NOTE:
If the application is approved you will have sixty (60) days in which to remit your annual rental fee in the amount
of $155.00 for each specific information sign and each supplemental sign, and will be billed on a yearly basis on
the anniversary date of the application approved date at the rental rate established. You also have sixty (60)
days from the approval date to deliver your business signs to the designated place stated on your approved copy
of the application.
Any required trailblazing signs shall be installed prior to any business sign being installed at the interchange,
intersection or ramp.
The completed application and the required fee payment are to be submitted to one of the following offices:
Department of Transportation
Department of Transportation
PO Box 1767
PO Box 1206
Aberdeen, SD 57401-1767
Mitchell, SD 57301-7206
Phone (605) 626-2244
Phone (605) 995-8129
Department of Transportation
Department of Transportation
104 S. Garfield Ave.
PO Box 1970
Pierre, SD 57501-5405
Rapid City, SD 57709-1970
Phone (605) 773-3464
Phone (605) 394-2244
PRINT FOR MAILING
CLEAR FORM

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