Last Updated January 2020
M:\Community Development\PERMIT & APPLICATION
FILLABLE FORMS\2020 Forms\Online Versions
Date Submitted:
Application #:
Date Approved:
Permit #:
Removal Date:
Application for Temporary Sign Permit
1. Business Information
Name of business/entity for which the sign is requested:
Address and/or general location:
Zoning District: Current Use:
Do any covenants and/or deed restrictions apply to this business:
Yes
No
Note: If yes, this application must be accompanied by signed approval of the association/entity enforcing
such.
Number of temporary permits previously issued for this property/use:
Note: Only three (3) temporary signs are permitted per business in any given year.
2. Contact Information
Applicant(s):
Name:
Address:
Property owner(s), if other than applicant:
Name:
Address:
Phone:
Fax number:
Email:
Phone:
Fax number:
Email:
Sign company:
Name:
Address:
Other contact (if any):
Name:
Address:
Phone:
Fax number:
Email:
Phone:
Fax number:
Email:
Contact(s) for correspondence: applicant
owner
sign company other
We, the undersigned, do hereby authorize the submittal of this application and associated documents and
certify that all information contained therein is true and correct. We acknowledge that no sign shall
hereafter be erected, re-erected, constructed, altered or maintained except in conformance with the
Parkville City Code. We do hereby agree to abide by and comply with the above-mentioned codes, and
further understand that any violations from the provisions of such or from the conditions as stated herein
shall constitute cause for the retraction of this permit.
Applicant’s Signature (Required)
Property Owner’s Signature (Required)
Date:
Date:
click to sign
signature
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click to sign
signature
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