SIGN PERMIT (SGN) APPLICATION
Planning & Building Department
150 East Pearl Ave.
P.O. Box 1687
Jackson, WY 83001
ph: (307) 733-0440
www.townofjackson.com
SGN Application 1 Effective 06/01/2019
PIDN:
Phone:
ZIP:
Phone:
ZIP:
PROJECT.
Name/Business/Description:
Physical Address:
Lot, Subdivision:
PROPERTY OWNER.
Name:
Mailing Address:
E-mail:
APPLICANT/AGENT.
Name, Agency:
Mailing Address:
E-mail:
DESIGNATED PRIMARY CONTACT.
Property Owner
Applicant/Agent
GENERAL INFORMATION.
Yes ___ No ___ Is this a multi-tenant building? Name of Building:
Yes ___ No ___ Number of Tenants.
Yes ___ No ___ Length of building frontage in linear feet (1
st
frontage)
Yes ___ No ___ Length of building frontage in linear feet (2
nd
frontage if applicable)
Yes ___ No ___ How many signs are you planning to install/erect?
Yes ___
No ___ Dimensions of existing signage to remain.
Yes ___ No ___ Do you have a Master Sign Plan?
Have you attached the following? Please answer accordingly.
For Office Use Only
Fees Paid
Please note: Applications received after 3 PM will be processed the next business day.
Date & Time Received
Application #s
SGN Application 2 Effective 06/01/2019
SUBMITTAL REQUIREMENTS. Please ensure all submittal requirements are included. The Planning Department will not
hold or process incomplete applications. Partial or incomplete applications will be returned to the applicant. Go to
www.townofjackson.com/243/Sign-Permit for submittal requirements. Have you attached the following? Please circle.
Application Fees. Fees are cumulative. Go to www.townofjackson.com/243/Sign-Permit for the fees.
Notarized Letter of Authorization. A notarized letter of consent from the landowner is required if the applicant is not the
owner, or if an agent is applying on behalf of the landowner. Please see the Letter of Authorization template at
www.townofjackson.com/DocumentCenter/View/102/Town-Fee-Schedule-PDF.
Yes ___ No ___ Proposed Signs. Please provide the information requested for each sign.
Yes ___ No ___ Required Drawings. Please provide the following drawings as part of your application.
Yes ___ No ___ A site plan, drawn to a recognized engineering scale, which depicts the property boundaries,
building footprints, access and circulation, and the location of each proposed sign and any existing
signs that will remain.
Yes ___ No ___ Description of the dimensions, colors, materials and types of any existing signs that will remain.
Illustration
of each proposed sign that includes dimensions, colors, materials and type of sign.
Yes ___ No ___ Installation specifications, required set backs, height, and any structural details or specifications required
for freestanding signs.
Yes ___ No ___ Specifications for proposed lighting.
PROPOSED SIGNS. Please fill out the following information for each sign as applicable. If you are proposing more than two signs,
you may provide this information on an additional sheet. Go to www.townofjackson.com/243/Sign-Permit for an explanation of
the sign requirements below.
SIGN 1
SIGN 2
Type:
Dimensions:
Area (square feet):
Height:
Clearance:
Setback property line:
Sign color:
Sign material
Lighting type proposed:
Type:
Dimensions:
Area (square feet):
Height:
Clearance:
Setback property line:
Sign color:
Sign material
Lighting type proposed:
Under penalty of perjury, I hereby certify that I have read this application and associated checklists and state that, to the best of
my knowledge, all information submitted in this request is true and correct. I agree to comply with all county and state laws
relating to the subject matter of this application, and hereby authorize representatives of Teton County to enter upon the above-
mentioned property during normal business hours, after making a reasonable effort to contact the owner/applicant prior to
entering.
Signature of Property Owner or Authorized Applicant/Agent
Name Printed