CITY OF ALBUQUERQUE
PLANNING DEPARTMENT
BUILDING SAFETY / ZONING DIVISIONS
APPLICATION FOR SIGN PERMIT
DATE:
/ /
CONSTRUCTION ADDRESS:
PERMITTEE
NAME:
ADDRESS:
CITY/STATE/ZIP:
PHONE:
OFFICIAL USE ONLY:
LOT(S): BLOCK(S):
SUBDIVISION:
UPC #:
ZONE: MAP:
H-1 ZONE / H-1 BUFFER ZONE OR CITY LANDMARK?
YES NO
IF YES, LUCC APPROVAL REQ’D (ATTACH COPY OF CERT OF APP)
WITHIN 1000 FT. OF A FORMER LANDFILL SITE? YES NO
PROPERTY OWNER (IF DIFFERENT FROM PERMITTEE)
NAME:
ADDRESS:
CITY/STATE/ZIP:
PHONE:
DATE:
DATE:
CONTRACTOR / INSTALLER
NAME:
ADDRESS:
CITY/STATE/ZIP:
PHONE:
STATE LIC #.: STATE TAX #.:
CITY BUSINESS #.: VALUATION: $
I HEREBY ACKNOWLEDGE THAT THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY WITH ALL
CITY ORDINANCES. I UNDERSTAND THAT THIS PERMIT SHALL NOT BE VALID WITHOUT FULL KNOWLEDGE
AND AGREEMENT OF THE PROPERTY
OWNER. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT SHALL NOT
PREVENT ZONING ENFORCEMENT FROM THEREAFTER REQUIRING CORRECTION OF VIOLATIONS. FINALLY, I
UNDERSTAND THAT THIS PERMIT IS NOT VALID UNTIL THE FEE IS PAID AND THAT THE WORK UNDER THIS PERMIT
MUST BE COMPLETED WITHIN SIX (6) MONTHS, OR THE PERMIT MUST BE RENEWED.
SIGNATURE
DATE
IN
T
E
R
NA
TIONAL BUILDING C
O
DE
:
A
PPROVED
:
D
I
SAPPROVED:
COMM
E
N
T
S
:
DATE:
DATE:
ZONING CODE:
APPROVED:
DISAPPROVED:
COMMENTS:
SIGN TYPE KEY:
W = WALL
R = ROOF
1 = ON PREMISE
2 = OFF PREMISE
F = FREESTANDING
C = CANOPY
M = MARQUEE
P = PROJECTING
Building Safety Inspection Required? Yes
No
Electrical Inspection R
equired?
Yes
No
SIGN NO. 1 SIGN NO. 2 SIGN NO. 3 SIGN NO. 4 SIGN NO. 5 SIGN NO. 6
TYPE (SEE ABOVE)
AREA (TOTAL sq. ft.)
ILLUM / MOVING
IBC REQUIRED
(OFFICE USE ONLY
)
X
PERMIT #
Updated 7/23/2013 MSM
