Fillable PO Box 458 * Veneta, OR 97487 * (City of Veneta)

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PO Box 458 * Veneta, OR 97487 * (City of Veneta)

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U.S.A. forms for City of Veneta

BROWSE CITY OF VENETA (OR) FORMS

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S:\FORMS\Public Works\Sign Permit Application Fillable.docx
PO Box 458 * Veneta, OR 97487 * 541-935-2191 * 541-935-1838 * www.VenetaOregon.gov
Type of Permit: New Alter Relocated
PERMIT NO.
SIGN VALUE $
Print Property Owner Name: Phone:
Mailing Address:
Print Applicant (If not owner): Phone:
Mailing Address:
Physical Address
Print Contractor: Contractor #: Phone:
Mailing Address:
Assessor’s Map Number
Tax Lot(s)
Acres
Zone
Horizontal Dimension
Vertical Dimension
Height to Bottom
Height to Top
Square Footage of Building
A drawing to scale shall be submitted which indicates fully the material, color, dimensions, size, shape and height above grade. The drawing
shall show the structural elements of the proposed sign and supporting structure(s) and any other information needed to show that the sign
will not interfere with traffic safety, public health, or general welfare. Building Signs: The diagram shall show where the sign will be attached
to the building, including the distance the sign will project from the wall to which it is attached and the height above the finished ground
surface over which it is mounted. Free‐standing Signs: In addition to the diagram, a site plan shall be submitted which shows the placement
of the sign on the property with dimensions from property lines, driveways, sidewalks, parking areas and buildings.
SIGN DISTRICT
Three sign districts have been established to ensure that sign size and location will provide the most visibility for each business while
protecting the aesthetic qualities of surrounding uses. The size, height and distance allowed between signs vary by district, taking into
account traffic speeds and types of uses in each district (see attached map).
Highway 126 Corridor Business District Residential
TYPE OF SIGN(S)
A detailed sign plan drawn to scale showing footings, mountings and hardware, must accompany application
*Building Portable *Free‐Standing *Monument Murals *Projecting Banners
*Subdivision Identification Directional Window On‐site Information Construction
Illumination: Yes No Conditional Use: Yes No Variance: Yes No *These signs require a Building Permit
NOTICE
Sign visible from a state highway: Yes No (If Yes, please read statement below and initial)
If property is visible from a state highway, a permit from the Oregon Department of Transportation (ODOT) may be required in addition to
any city permits. Please contact ODOT for sign requirements (Phone ‐ 888‐275‐6368 or website http://www.oregon.gov/ODOT).
Applicant Initials
A permit shall expire if a sign is not installed, as approved, within 180 days from the date of approval. Reapplication shall include a new,
fully completed application form and a new application fee. Electrical connections and all supply circuits shall be made by Licensed
Electrical Contractor and subject to the provisions of the State Electrical code. A separate permit shall be taken out for electrical work.
I HEREBY STATE THAT THE FACTS RELATED IN THE ABOVE APPLICATION AND THE PLANS AND DOCUMENTS SUBMITTED HEREWITH ARE
TRUE, COMPLETE, CORRECT, AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
Property Owner Signature:
Applicant Signature:
Sign Permit Application
S:\FORMS\Public Works\Sign Permit Application Fillable.docx
FOR OFFICE USE ONLY
FOR BUILDING INSPECTOR USE
Type of
Sign
Number of
Signs
Number of
Stories
PERMIT FEES
Size of Sign
(Sq. Ft.)
Size of Building
(Sq. Ft.)
NON-REFUNDABLE
PLAN CHECK FEE:
ESTIMATE:
$
ACTUAL:
$
VALUATION OF WORK
$
1. Building Permit
VALUATION OF ACCESSORY STRUCTURE
$
2. Sign Permit
TOTAL VALUATIONS
$
Application accepted by
Plans checked by
Approval for Issuance by
FOR PLANNING DEPARTMENT USE
ZONE:
RR SFR GR RC CC HC IC LI MI PFP
/SS /GW /FP /PD /SDP(NE) /SDP(SW)
STATE SURCHARGE **
**12% OF CHARGES 1 thru 5
REQUIRED YARD SETBACKS:
FRONT: BACK: SIDE:
OTHER
SPECIAL CONDITIONS (Deeds, Easements, Improvement Agreements, Site Plans, etc.)
SEE ATTACHMENTS
LESS ESTIMATED PLAN CHECK FEE
PERMIT FEE BALANCE DUE
ESTIMATED PLAN CHECK FEE NON-
REFUNDABLE
AMOUNT: $ DATE PAID:
RECEIPT NUMBER:
WHEN
PROPERLY
VALIDATED
THIS
IS
YOUR
RECEIPT
PERMIT FEE BALANCE DUE:
AMOUNT: $ DATE PAID:
RECEIPT NUMBER:
FERN RIDGE SCHOOL DISTRICT CONSTRUCTION EXCISE TAX
SIGN PERMIT & CONSTRUCTION ARE EXEMPT FROM THIS TAX
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PO Box 458 * Veneta, OR 97487 * (City of Veneta)

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Completed 17 July 2020

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