Name of Owner: _______________________________________________________________________________
Name of Business (if applicable): __________________________________________________________________
Address: ______________________________________________ Telephone: _____________________________
Representative: ________________________________________________________________________________
Representative is: Tenant Agent Design Professional Other (please specify): _________________
Representative’s Primary Contact: _________________________ Email: _________________________________
Representative’s Address: ________________________________________________________________________
Location: ______________________________________ Zoning District: _____________________________
Tax Map Number: ___________________ Total Cost of Project (Including Labor and Materials): $_______________
Description of proposal (attach separate sheet if necessary): ____________________________________________
______________________________________________________________________________________________
Location of proposed signage on property.
Building Elevation (Façade Dimensions) Front: ________ ft. Side: ________ ft. Rear: ________ ft.
Existing signage on property (Y/N) __________. If yes, attach photographs and dimensions of all existing signs.
Renderings and/or plans showing detailed descriptions and exact measurements.
Type of sign: Projecting Wall Mounted Freestanding Monument Awning
Height: _________ ft. The setback is (½) the height of the sign from any right-of-way.
Illumination (Y/N): __________ Existing Electrical (Y/N) ___________
New electrical will need to be inspected by the Building Department; electrical permit may be required.
Town of Abingdon, Virginia
Community Development Department
All applications for permits, along with all additional required information, must be provided to the Community Development
Department prior to the processing of this application. All information submitted will be reviewed prior to the issuance of a
permit. Should information be missing or additional information be required, the review process may be delayed. The
proposed signage shall conform to all applicable requirements of the Virginia Uniform Statewide Building Code, Article 21 of
the Zoning Ordinance of the Town of Abingdon and all other applicable laws and ordinances.