Fillable CITY OF STAYTON APPLICATION FOR A PERMIT TO (City of Stayton)

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CITY OF STAYTON APPLICATION FOR A PERMIT TO (City of Stayton)

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The CITY OF STAYTON APPLICATION FOR A PERMIT TO (City of Stayton) form is 2 pages long and contains:

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File type: PDF

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January 2019 1
CITY OF STAYTON
APPLICATION
FOR A PERMIT TO ERECT OR ALTER A SIGN
PROPERTY OWNER:
Address:
City/State/Zip:
Phone: ( ) - Email:
APPLICANT:
Address:
City/State/Zip:
Phone: ( ) - Email:
APPLICANT’S REPRESENTATIVE:
Address:
City/State/Zip:
Phone: ( ) - Email:
LOCATION: Identify the exact location of the property: Street Address:
Assessor's Tax Lot Number: Map 91W _______ Lot _______
Closest Intersecting Streets:
DESCRIPTION OF SIGN: Identify the height, width, distance from bottom of sign and distance between sign and any
property lines. Also complete Section 2 of this application.
.
.
I understand that the sign permit application fee of $25.00 is non-refundable. I hereby certify that all information
provided in this application is correct. Permits are non-transferable and expire if work is not competed within 180
days. I understand that a building permit from Marion County may also be required and that a City of Stayton sign
permit does not take the place of building permit. Sign permits mistakenly issued in violation of the Stayton City Code
are void. The Stayton City Administrator may revoke a sign permit if it is found that material errors or misstatements
of fact were made by the applicant on the permit application.
Signed: Date:
Signature of Applicant
DO NOT WRITE BELOW THIS LINE
Application received by: Date: Fee Paid: $ Receipt No.
Building permit required yes no
Action of City Planner: Approved Approved with the following conditions Denied for failure to meet the
Code Sections noted below:
City Planner Date
Submit Via Email
January 2019 2
SECTION 2. Site Description
Please provide the following information.
The zone designation of the property. If the property is in a residential zone, please skip to Section 3.
LD MD HD CR CG ID CCMU DCMU DRMU IL IC P
____ Linear footage of the building front.
Check here if sign will not be located on the business premise.
Indicate whether this is an integrated business center or individual business. Integrated business center is defined
as a group of two or more businesses which are planned or designed as a center, and share a common off-street
parking area or access, whether or not the businesses, buildings, or land are under common ownership.
Integrated business center Individual business
Check here if the building(s) is located on a street corner.
SECTION 3. Existing and Proposed Signs.
Please provide the following information.
E
XISTING SIGNS: Check the types of existing signs on the property associated with this business
Temporary or Portable Free-Standing Message Wall or canopy Projection Home
Occupation
Wall, Canopy or Projecting Signs:
____ Number of existing wall, canopy, or projecting signs.
____ Square footage of existing wall, canopy, or projecting signs.
Free-Standing Signs:
____ Number of existing free-standing signs.
____ Square footage of existing free-standing signs.
P
ROPOSED SIGN(S): Please attach a drawing of the proposed sign with the following information included.
Check the types of signs proposed for this application
Temporary or Portable Free-Standing Message Wall or canopy Projection Home
Occupation
•
Dimensions and square footage of proposed sign.
•
Height of proposed sign (from the ground to the top of the sign)
•
Location of the sign, showing distances to property lines and any adjacent streets.
TEMPORARY SIGN(S): If the proposed sign is a temporary or portable sign, please indicate the dates when the sign will be
displayed. Temporary signs may be displayed for no more than 90 days in a single calendar year.
_________ Date sign will be erected.
_________ Date sign will be removed.
To review the complete sign ordinance (17.20.140) please see Stayton Municipal Code Title 17, Land Use and
Development Code online at: www.staytonoregon.gov. Click on the Document Center tab, select Municipal Code,
then Title 17, Land Use and Development, and open Chapter 20 Development and Improvement Standards
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CITY OF STAYTON APPLICATION FOR A PERMIT TO (City of Stayton)

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Completed 5 August 2020

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