City of Rockville
Planning and Development Services
Permitting and Inspection Services Division
240-314-8240 / 240-314-8265 (Fax)
Sign Permit Application
Please print clearly or type all information. Incomplete applications will not be processed.
1. SUBMIT 3 DRAWINGS WITH THIS APPLICATION SHOWING HOW THE SIGN IS TO BE ERECTED & WHERE IT IS TO BE PLACED.
2. SIGN DRAWINGS MUST INCLUDE DIMENSIONS OF THE SIGN, LETTERING AND BACKGROUND COLORS.
3. THE APPLICANT SHALL FURNISH AS PART OF THE APPLICATION THE CONSENT OF THE OWNER(S), OR THE OWNER’S AGENT,
GRANTING PERMISSION FOR THE PLACEMENT OF THE SIGN.
4. A MINIMUM PERMIT FEE of $90 PER APPLICATION IS REQUIRED AND IS NONREFUNDABLE.
PROPERTY
ADDRESS
Street Address including ZIP code
Suite
Business owner/mgr
APPLICANT
INFORMATION
Applicant
Phone
Address
ZIP Code
Email
INSTALLER OF
SIGN
Company Name
Phone
Address
ZIP Code
PROPERTY
OWNER
Name
Phone
Address
ZIP Code
SIGN
INFORMATION
Width
ft.
Height
ft.
Area of sign
sq ft
Number of faces
Color
Material
Height above grade
ft.
Setback from property line
(if freestanding)
ft.
Frontage of business
linear feet
Is sign electric? (circle one)
Yes No Existing
(box sign only)
I hereby certify that this application for a sign permit is made on authority of the property owner and that I am authorized to
make application and act on behalf of the property owner with respect to this sign.
Printed Name: Signature:
FEES ARE NONREFUNDABLE.
Application Date ____________
OCC _____________________
SGN _____________________
Revised 01/23/2020 MFD/MGS