Fill - Free fillable Sign-Application-PDF-Fillable-Version-Approved-1-8-2018 - Final Approved Version 1-8-2018 Village of Brooklyn Sign Application PDF form

 

1OF2UPDATED1/2/2018



SignPermitApplication

VillageofBrooklyn

210CommercialStreet,P.O.Box189

Brooklyn,WI53521

608‐455‐4201/fax455‐1385

clerk@brooklynwi.govordeputyclerk@br ooklynwi.gov

ContactInformation

Name:



Co.Name(ifApplicable)

Address:



City/State/Zip

WorkPhone



HomeorCellPhone

Email Fax



BestWaytoreachmeis:

PhoneEmail

Iamthe:

OwnerTenantRepresentative

Signature:



Date:

ApplicationInformation

OrdinanceChapter115Signs



Site/PropertyAddress:________________________________________________________________



Installationdoneby:_________________________________________________________________



Approximatecostofsign:_____________________________________________________________



CurrentZoningofSite:________________________________________________________________



Attachedaplotplan,dimensioned,showingthelocationofthebuilding,structure,andlotuponwhichthe

proposedsignistobeattachedorerected.



Twodrawingsoftheproposedsignshowingthemessage

tobedisplayedandmethodofconstruction, 

landscapingandattachmenttothebuildingorground.



Acolorsketchshowingtheproposedcolorcombinationofthesignwithproposedandexistingsurrounding

materials.



Writtenconsentofowner(orauthoritytoactonbehalfofsuchowner)ofbuilding,structureandlandon



whichthesignistobeerected.



Adescriptionofallelectricalequipmentandattachmentsifthesignistobelightedorilluminated.



2OF2UPDATED1/2/2018



Proofofinsurance.Anyperson,firmorcorporationengagedinthebusinessoferecting,repairing,

maintainingorrelocatinganysignshallmaintainineffectatalltimesapolicyofliabilityinsurance withlimits

of$100,00.00forbodilyinjuryand$200,000.00aggregateand$100,000.00propertydamage.



Permitfeesrequired. (VillageOrdinances

–AppendixC)Permitfeesshallbepaidtothebuildinginspectorfor

eachsignpermitissuedunderthischapter;provided,however,thatafeeshallnotbechargesforputtingan

existingsigninconformitywiththischapter,orforacopychangewhennochangeinbusinessname

is

involved.

OfficeUseOnly



DateReceived:_________________By:____________________Parcel#:_____________________________



ReferredtoBuildingInspector:_______________________________Fee:____________Check#__________



Approvals



Yourrequesthasbeen:_____Approved_____NotApproved

_____ApprovedwiththeseConditions:



Permitapprovedby:Date:Permit#:

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Sign-Application-PDF-Fillable-Version-Approved-1-8-2018 - Final Approved Version 1-8-2018 Village of Brooklyn Sign Application

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