SIGN PERMIT
STREET ADDRESS
CITY OF BIXBY
I
DATE
No
.
PROPERTY OWNER
LOT
BLOCK
ADDITION
OWNER PHONE
CONTRACTOR
L
E
G
A
L
CONTRACTOR PHONE
ADDRESS
SECTION
TWP
RANGE
F
E
E
S
zoning
Permit
ELECTRICAL CONTRACTOR
TOTAL
$
INSURANCE CO.
INSURANCE POLICY NO.
PRINCIPAL
STRUCTURE
ACCESSORY STRUCTURE
ZONING DISTRICT
DISTRICT
_
_
SUP. DIST.
BOARD OF ADJUSTMENT NO.
USE UNIT
NO.
USE
BY RIGHT
INTERPRETATION
SPECIAL
VARIANCE
EXCEPTION
LOT
INFORMATION
FRONTAGE
AVERAGE DEPTH
LOT AREA
LAND AREA
USE
CONDITIONS
ESTIMATED COST
$
STRUCTURE
SET BACK
FRONT (FROM CENTER LINE STREET)
Feet
STREET NAME
SIDE
(FROM CENTER LINE CORNER LOT)
STREET NAME
SIGN
INFORMATION
HEIGHT
ABOVE
ROOF
WIDTH
LENGTH
AREA
FACE MATERIAL
GRADE
POLE MATERIAL
FOUNDATION
TYPE OF
SIGN
PORTABLE SIGN
WALL SIGN
GROUND SIGN
ROOF SIGN
FLAG OR BANNER
TYPE OF WORK
TO BE DONE
NEW SIGN
ENLARGE SIGN
REPAIR NO EXPANSION
OTHER
EXPLAIN
OFFICER
INSPECTOR
NO. OF BUSINESS ESTABLISHMENTS ON LOT
APPLICANT'S SIGNATURE
HEIGHT
OF
BUILDING (FOR WALL SIGN)
Feet
WIDTH OF ESTABLISHMENT TO WHICH SIGN RELATES
OTHER or PROPOSED
EXISTING SIGNS
LOCATION
TYPE
TOTAL SQ. FEET
NOTE: If
additional
space required, attach separate sheet
D
e
s
c
r
i
p
t
i
o
n
click to sign
signature
click to edit