City of Jordan Application for Sign Permit Last Updated 8/25/2020 Page 1
APPLICATION FOR SIGN PERMIT
CITY OF JORDAN
210 EAST FIRST STREET
JORDAN, MN 55352
952-492-2535
Site Information
Site Address: _________________________________________________________________________________
Legal Description: _____________________________________________________________________________
Applicant / Contractor Information
Name: ______________________________________________ Phone: __________________________________
Address: ______________________________________________ Email: _________________________________
Owner Information ([ ] Check if same as above)
Name: ________________________________________________ Phone: ________________________________
Address: ______________________________________________ Email: _________________________________
I/We, the undersigned, hereby make the following application to the City Council and Planning Commission of the City of Jordan, Scott County,
Minnesota. (Applicants have the responsibility of checking all applicable ordinances pertaining to their application and complying with all
ordinance requirements):
1. Zoning District in which the sign will be located: _________________________________________________
2. Type of sign: ______ Free-standing pole sign _____ Ground mounted free standing _____ Temporary Sign
____ Sign affixed to surface of the building _____Sign on an awning or canopy ____Directional _____ Mural
3. Sign Dimensions: ______Height ______ Width ______ Length ________ Total Square Feet
4. Number of faces on the sign: _____ One _____ Two
5. Proposed setbacks: _______ (feet) Front yard _______ (feet) Side 1 _____ (feet) Side 2 _______ (feet) Rear yard
6. If any other signs are currently located on the site, please provide total square footage of existing sign or signs
anticipated to be removed:
7. Will the sign be lit? ____ Yes ____ No. If yes, provide a description of the lighting.
8. Attach copies of a site plan illustrating the proposed location of the sign(s) and a drawing depicting the sign, both with
*All signs must comply with Chapter 154 Zoning Ordinance SEC. 154.240 and other applicable codes.
** A building permit may also be required depending on the size and location of the sign.
City of Jordan Application for Sign Permit Last Updated 8/25/2020 Page 2
I certify that all information submitted is true and correct.
Applicant Signature: _______________________________________ Date: ______________________________
Owners’ Signature(s):_______________________________________ Date: ____________________________
________________________________________ Date: ____________________________
FOR OFFICE USE ONLY
DATE SUBMITTED: _________ DATE COMPLETE: ___________ IF INCOMPLETE, DATE LETTER SENT TO APPLICANT: _______
FEE PAID: _________ DATE FEE PAID: ___________ FILE #_________
APPROVED _____ DENIED _______ BY: _______________________________________________________
DATE OF ACTION: ______________
DATE APPLICANT/PROPERTY OWNER NOTIFIED OF CITY STAFF ACTION: _________________
DATE SIGN PERMIT ADDED TO PROPERTY ADDRESS FILE: __________________
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