SGN ___________
SIGN REVIEW APPLICATION
INSTRUCTIONS:
Sign permits are issued by the City’s Community Development Department. To receive a
sign permit, please submit a completed building permit application, three (3) sets of
construction plans and specifications, the appropriate submittal fee, and this application form
to the Madera Planning Department. Planning and Building Department staff will utilize this
information to determine if the proposed signage meets the requirements of the City’s Sign
Regulations. Authorization of the property owner (or an authorized agent) must accompany
the application. Incomplete or inaccurate permit application packages may delay the
issuance of a sign permit.
IF YOU NEED HELP:
For additional information about the sign permit process and how to obtain an approved sign permit, please
call (559) 661-5430 or visit the Planning Department at 205 West 4
th
Street in Madera. Planning Department
staff are available at the Planning Department counter to explain the regulations and the sign permit process.
Applicant Name _________________________________________ Phone: __________________________
Applicant Address: ________________________________________________________________________
City: __________________________________________ State: _________ Zip Code: __________________
Project Name (Business Name): _____________________________________________________________
Project Address: __________________________________________________________________________
Contact Person: ______________________________________ Contact Phone: _______________________
Contact email: ____________________________________________________________________________
Applicant Signature: __________________________________________
Date: _______________________
Please turn over this application and complete the information on the back of the application form.
OFFICE USE ONLY
APN(s): __________________________________
Zone District: _______________________________
Shopping Center (if applicable): ________________________________
Master Sign Program: Y N
Valuation of Signage: $___________________________________
Planning Fee: $_________________
Application Date:______________________________
Approval Date: ___________________________
Approved By: ________________________________________________________________________
City of Madera, 205 West 4
th
Street, Madera, CA 93637 Phone: (559) 661-5430 Fax: (559) 674-2972
SGN ___________
On-Building Signs
City of Madera, 205 West 4
th
Street, Madera, CA 93637 Phone: (559) 661-5430 Fax: (559) 674-2972
Qty. Type (i.e. canister, pan channel letter) Dimension Square Footage
____ ____________________________
_________ ________
____ ____________________________
_________ ________
____ ____________________________
_________ ________
____ ____________________________
_________ ________
____ ____________________________
_________ ________
____ ____________________________
_________ ________
Length of applicable lease frontage or building frontage: ______
ft. Building Square Footage: ________
End of building? Yes_____
No _____ Within 150 feet from property line? Yes_____ No _____
Lease Area or Building Square Footage: ______ Total On-Building Sign Area Proposed: ________
Remarks: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Include detailed drawings of each proposed on-building sign and its placement on the exterior elevation
of the building.
Freestanding Signs
Qty. Type (monument, pole, menu, etc.) Height Square Footage
____ ____________________________ _________ ________
____ ____________________________ _________ ________
____ ____________________________ _________ ________
____ ____________________________ _________ ________
____ ____________________________ _________ ________
____ ____________________________ _________ ________
Corner Parcel? Yes_____
No _____ Setback From Property Line: __________________________
Street Frontage Length: _____________
Second Street Frontage (if applicable): _______________
Illuminated? Internal ______
External ______ Total Freestanding Sign Area Proposed ______________
Remarks: ____________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________
_
____________________________________________________________________________________
_
Include detailed drawings of each freestanding sign proposed and its placement in the sight.
Total Valuation of Signage $________________________
__
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