Sign Permit Application – Village of Lincolnshire, IL – Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
Page 3 of 4
I, , certify that the information contained in this application,
attached plans, and specifications, and other attached documentation is true to the best of my
knowledge. I also recognize that as the permit applicant, all fees and requirements associated with the
review and future approval of the work described herein are my responsibility.
Signature: Date:
DESIGN PROFESSIONAL INFORMATION
(if required by Building Official – not Required for Temporary Sign Permits)
Address (including suite #):
I, , declare that I have reviewed and/or designed the documents
associated with this application, and therefore, take responsibility for the design work on behalf of a
registered design firm. In addition, I certify that the information contained on the attached plans and
specifications, and other attached documentation is true to the best of my knowledge, and accurately
depicts the subject site on the date these documents were prepared.
Signature: Date:
LANDLORD / PROPERTY OWNER APPROVAL STATEMENT
A separate landlord/property owner approval letter may be submitted in lieu of completing the following
approval statement. Any such letter must be on company letterhead of the ownership party, include a
statement granting authorization for the submittal of this application and corresponding
plans/documents, and be attached to this application.
I ____________________________, certify that as the property owner and/or landlord as identified
herein, I have reviewed the information contained in this application, attached plans, specifications, and
other attached documentation and hereby authorize the submittal of this application, attached plans,
specifications, and other attached documentation for the installation of the documented sign at the
location(s) identified.
Signature: Date:
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