10/16/17 Page 1 of 2
CITY OF HUDSON
505 3
RD
STREET
HUDSON WI 54016-1694
FAX (715)386-3385
www.ci.hudson.wi.us
SIGN PERMIT
APPLICATION
DAVID GRAY
BUILDING INSPECTOR
(715)386-4775, ext. 132
dgray@ci.hudson.wi.us
RHETT BORNER
ASST BUILDING INSPECTOR
(715)386-4775, ext. 147
rborner@ci.hudson.wi.us
Owner's Name
Telephone (Daytime)
Email or Fax
Mailing Address
Applicant's Name (if different than owner)
Telephone (Daytime)
Email or Fax
Mailing Address
Building/Site Address for Sign Location
TYPE OF SIGN (mark one): (FOR ELECTRONIC MESSAGE DISPLAYS, ALSO COMPLETE SECOND PAGE)
Wall Projecting Freestanding* Balloon* Banner* Other* _________________
OTHER INFORMATION:
New Replacement Repair Modification
Maximum Sign Height
Sign/Face (sq. ft.)
Total Size
Type
Size
ANTICIPATED INSTALLATION DATE:
*FOR TEMPORARY SIGN
Dates sign will be displayed (10 days maximum):
In area below, provide site plan showing proposed sign location and detail plan of proposed sign w/dimensions, illumination, etc.
or attach to the application form.
The owner/applicant agrees to comply with Chapter 202 and all other Municipal Code requirements; understands that the
issuance of the permit creates no legal liability on the City and certifies that all of the submitted information is accurate.
SIGNATURE OF APPLICANT__________________________________________DATE___________________
Nonrefundable Application Fee of $30.00 per sign (CASH OR CHECK ONLY) is due with application.
PRINT
CLEAR
click to sign
signature
click to edit
10/16/17 Page 2 of 2
ELECTRONIC MESSAGE DISPLAYS
LOCATION*
1) Is the display more than 150’ from a residential area? YES NO
2) Is the display more than 50’ from another display? YES NO
3) Is the display part of a freestanding sign? YES NO
AREA
1) Is the display area:
a. 30 sf or less in B-2 General Business District? YES NO
b. 20 sf or less in B-3 Central Business District? YES NO
HEIGHT
1) Is the display height:
a. 25’ or less in B-2 General Business District? YES NO
b. 20’ or less in B-3 Central Business District? YES NO
DISPLAY
1) Will each message be displayed for more than 4 seconds? YES NO
2) Will the message be animated or display video?** YES NO
3) Will the daylight brightness be less than 5,000 nits? YES NO
4) Will the sunset to sunrise brightness be less than 500 nits? YES NO
5) How will the brightness be controlled?***
* Electronic displays prohibited in designated historic districts downtown.
** Animated or video displays require a conditional use permit.
*** Automatic controls required to reduce brightness to 500 nits or less between the hours from sunset to sunrise.
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