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CITY OF MIDLAND SIGN PERMIT APPLICATION
MIKE STREETER (SIGN/ELECTRICAL INSPECTOR)
333 W. ELLSWORTH ST., MIDLAND, MI 48640
989-837-3383 Fax 989-835-2378
1. JOB LOCATION
Name of Business
Street Address
2. BUILDING OWNER / LESSEE INFORMATION
Name of Owner /Lessee
Address
City/State/Zip/Phone #:
3. SIGN CONTRACTOR INFORMATION
Name
Address
City/State/Zip/ Phone #:
E-Mail / Phone #
S
tate License # /expiration date
4. TYPE OF SIGN:
Wall mounted Ground mounted Temporary
Internally lit? Yes No Listing #
Length Width Height Area Setback
Dates needed for temporary
sign:
5. ADDITIONAL REQUIRED INFORMATION: Please attach the following information to this application.
• Written consent of the owner and/or lessee of the premises upon which the sign is to be erected.
• Plans and specifications showing the dimensions, materials, methods of construction, and attachments to the building or
in the ground.
• Information concerning required electrical connections.
• Position of the sign in relation to nearby buildings, structures, and property lines.
• Location and square footage areas of all existing signs on the same premises.
• Copies of the stress sheets and calculations, as required by the Building Code.
6. A SIGN PERMIT SHALL BECOME NULL AND VOID IF THE WORK FOR WHICH THE PERMIT IS ISSUED HAS NOT BE
COMPLETED WITHIN A PERIOD OF SIXTY (60) DAYS AFTER THE DATE OF THE PERMIT.
7. A
PPLICANT SIGNATURE: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THA
T
TH
E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY AND STATE LAWS REGULATING SIGNS,
MARQUEES, AWNINGS AND BUILDING CONSTRUCTION.
S
IGNATURE OF PERMITTEE
PRINTED NAME_________________________________________________DATE________________________________
PERMIT APPLICATION FEE $30.00
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signature
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