Fillable Sign Permit Application (Polk County)

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Sign Permit Application (Polk County)

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The Sign Permit Application (Polk County) form is 1 page long and contains:

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  • 14 check-boxes
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Country of origin: US
File type: PDF

U.S.A. forms for Polk County

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Permit # _________
Sign Permit Fee: ________________
Page 1 of 1
(time stamp)
Official Use Only
1. Applicant Information
___________
_______________ _____________________________ _________
Applicant (Company) Contact Person Date
__________________________________________________________________
Address, City, State and Zip
__________________________________ ________________ _______________
Email Phone Fax
2. Subject Property Information
Property Owner Name: ____________________________________ _____
Business Name: _______________________________________________
Address: _____________________________________________________
District & Parcel #: _____________________________________________
Zoning District: ________________________________________________
Existing/ Proposed Use: _________________________________________
Building Type (please circle appropriate) Single Tenant / Multi-Tenant
Lot Size: _____________________
Building Length: ____________________
3. Existing Signs
Dimensions Square Footage Type (freestanding, wall, other) Illuminated
Y / N
Y / N
Y / N
Y / N
Number of Existing
Sign(s)
Total Square Footage
Existing Signs
Freestanding Sign Height
4. Proposed Signs
New sign o
r
Face change
Dimensions Square Footage Type (freestanding, wall, etc.) Illuminated
Y / N
Y / N
Y / N
Number of Proposed
Sign(s)
Total Square Footage
Proposed Signs
Freestanding Sign
Height
5. Attachments (the following must be attached to any sign permit application)
1. Elevation Drawing – Show dimensions of sign, location on wall & height of freestanding sign.
2. Site Plan Drawing – Show proposed location and setback information of new and existing signs.
3. Filing Fee – Checks are to be made payable to Polk County.
4. Electrical Permit – If proposed sign(s) are illuminated, an Electrical Permit from the Building Division is required.
Incomplete applications without necessary applications will not be processed.
If proposed sign is a new billboard, a building permit and a sign permit are required
Return forms
to: Polk County Public Works, Planning Division 5885 NE 14
th
Street, Des Moines, IA 50313
Phone (515)286-3705 Fax (515)286-3437 email: PublicWorks@polkcountyiowa.gov
Forms and Sign Code available online http://www.polkcountyiowa.gov/PublicWorks/
OFFICIAL USE ONLY
Received by
: Site Inspection Date:
Date Issued: Issued by
:
Sign Permit Application
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Sign Permit Application (Polk County)

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Completed 14 February 2021

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