RICHFIELD
SIGN PERMIT
PERMIT NO.
TAX KEY#
Project Address:
Project Owner’s Name: Project Owner’s Phone No.:
Project Description:
Project Owner’s Address (if different from above):
Contractor’s Name:
Contractor’s Address, City & Zip:
Contractor’s Phone No.: Contractor’s License No.:
Signature of applicant: Date:
PERMIT ISSUED BY MUNICIPAL AGENT: PERMIT FEES
Plan Review
Other
Permit
TOTAL
New
Alteration
Addition
Repair
1st Side
2nd Side
Other
Total
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Shore setback
feet from sign to ordinary high water mark
Floodplain setback
feet from sign to 100 year floodplain.
Temporary Signs are valid for
1 month from date of issuance.
4 non-consecutive temporary
signs per calendar year allowed.
Raze
Move
Other
Site Constructed
Manufactured
Residential
Commercial
Other
Permanent
Temporary
Other
Wall
Projecting
Pole
Ground
Roof
Other
Name:
Date:
Certification No.:
4128 Hubertus Rd.
Hubertus, WI 53033
Phone: (262) 628-2260
Fax: (262) 628-2984
Email:
inspector@town-richfield.com
PROJECT
AREA - SIGN FACE
SHORELAND / FLOODLAND TEMPORARY SIGNS
TYPE OF MATERIAL EXISTING STRUCTURES
CONST. TYPE HEIGHT ILLUMINATED ESTIMATED COST
TYPE USE SIGN TYPE
Internally
Externally
Total $
Wood
Plastic
Metal
Canvas
Other
Effective Date:
Expiration Date:
Structure Size: Width Depth Height
Floor Area: 1st Floor 2nd Floor 3rd Floor
Basement Garage Other Total (all bldgs)
Online payments, click here. To see online fee schedule, please click here and scroll down to "fees" on the building inspection page.
Pay Online
inspector@richfieldwi.gov
