Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Fee $_________________
307-234-6679
Permit Issued Subject To Provisions of Town Ordinance
Sign Permit
All Sign Permits Require Zoning Certificate
PROPERTY INFORMATION
OWNER:
ADDRESS:
CITY:
STATE:
TELEPHONE:
CELL:
PERMIT INFORMATION
Type of Work:
Involves: (Select One) ERECT ALTER REPAIR MOVE
PERMANENT SIGN TEMPORARY SIGN DISTANCE FROM OVERHEAD POWER LINES:_________________
SIZE OF PROPOSED SIGN:________________ TOTAL SQUARE FOOTAGE OF PROPOSED SIGN:_________________
Type of Sign: OFF - PREMISE SIGN ON - PREMISE SIGN
PROJECTING WALL POLE ROOF
MONUMENT BILLBOARD MARQUEE OTHER:____________
ELECTRICAL SIGN: YES NO SELF-ILLUMINATED EXTERNALLY ILLUMINATED
CONTRACTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
APPLICANT SIGNATURE:
APPLICATION DATE:
ELECTRICAL CONTRACTOR
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
Overhanging/Projecting Signs: Sidewalk Clearance:______________ Projection from Building:______________
Distance From Curb to Structure:______________
Sign Material: Face:______________ Frame:______________ Support:______________
TOWN OFFICIAL
APPROVAL SIGNATURE:
APPROVAL DATE: