75 E 100 NO.
PH 435-425-3600
DATE RECEIVED_____________________ PERMIT NO.__________________________
Name of Applicant____________________________________________________________________
Mailing Address______________________________________________________________________
Sign Location________________________________________________________________________
Sign Type (mark all that apply)___ Monument ___Pylon___Wall ___Canopy ___Limited/other
Sign Dimensions____________________________ A sketch of the project size, height and location
on the properties must be attached. If approved a building permit will be issued.
Architect/Engineer/Contractor __________________________________________________________
Address ____________________________________________________________________________
E-Mail Address_____________________________________________Phone____________________
FEES: $50.00 Attached $100.00- Freestanding
Please Read Carefully And Sign Below This permit becomes null and void if work on construction
authorized is not c commenced within 180 days or if work is suspended or abandoned for a period of 180 at any time after
the work is commenced. I hereby certify that I have read and examined this application and know the same to be true and
correct. All provisions of laws and Torrey Town ordinances governing this type of work will be complied with whether or
not specified herein. The granting of a permit does not presume or give authority to violate or cancel the provison of any
state or local law regulating the construction or performance of construction.
_____Received Copy of Lighting and Sign Ordinance.
_________________________________________________ ________________________________________
Applicant Signature (My signature indicates I verify the Date
Information to be true).
_________________________________________________ _________________________________________
Building inspector Date
__________________________ Town Clerk
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