Fillable Owner Information Site Information Sign Permit Description BUILDS (City of Republic, Missouri)

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Owner Information Site Information Sign Permit Description BUILDS (City of Republic, Missouri)

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The Owner Information Site Information Sign Permit Description BUILDS (City of Republic, Missouri) form is 1 page long and contains:

  • 1 signature
  • 4 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Republic, Missouri

BROWSE CITY OF REPUBLIC, MISSOURI (MO) FORMS

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Revised 12/29/2020
Application Date:
Permit No:
Site Information
Site Address:
Legal
Description
(office use only)
PIN:
Lot Number:
Subdivision:
Zoning:
Owner Information
Name:
Address:
State:
Email Address:
Phone Number:
Zip:
Name of Business or Tenant:
Contractor
Name (Contact Person):
Name (Company):
Address:
State:
Email Address:
Phone Number:
Zip:
Project Information
(please mark the appropriate
selection for each category)
Purpose of Signage: Business Non-Business
Duration: Permanent Temporary
Duration Period
(if applicable):
To:
From:
Placement of Signage: Roof Wall
Detached
(on-premises)
Detached
(off-premises)
Height of Sign from Grade:
ft.
Effective Area of Signage:
sq. ft.
Project Description (please include sign wording):
By signing this application form, I hereby acknowledge that the information I have provided is complete and accurate to the best of my
knowledge. Furthermore, I acknowledge my responsibility to conform to the applicable federal, state and local regulations pertaining to
the project described by this application and attachments. I also understand that this application will expire within 180 days of the date of
my signing, unless extended in writing by the Building Official.
Date
Name (please print)
Signature
BUILDS Department
Phone: (417) 732-3150
Email: permits@republicmo.com
Building Permit Application
Sign Permit
click to sign
signature
click to edit
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Owner Information Site Information Sign Permit Description BUILDS (City of Republic, Missouri)

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Completed 19 January 2021

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