Fillable SignPermit091019Fillable Not Completed

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SignPermit091019Fillable Not Completed

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The SignPermit091019Fillable Not Completed form is 2 pages long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of Farmington

BROWSE CITY OF FARMINGTON (MN) FORMS

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Applicant _____________________________________ Telephone:_______________ Fax: _____________
Address: _________________________________________________________________________________
Street City State Zip Code
Owner: _______________________________________ Telephone: _______________ Fax: ___________
Address: _________________________________________________________________________________
Street City State Zip Code
Sign Owner: ___________________________________ Telephone: _______________ Fax: ____________
Address: _________________________________________________________________________________
Street City State Zip Code
Contractor Name: ______________________________ Telephone: _______________ Fax: _____________
Address: _________________________________________________________________________________
Street City State Zip Code
Current Zoning District ___________________________ Current Land Use ___________________________
Type of Sign: ____ Wall, ____ Banner, ____ Advertising Billboard*
____ Off Premises Directional ____ Public Service Info, ____ Marquee
____ Freestanding, ____ Development Project
*Distance from nearest advertising billboard (1500’ minimum), Distance from nearest intersection
(500’minimum)
The following information MUST be included along with completed sign application and permit
fee (see reverse).
APPLICATION CHECKLIST (Completed by Applicant):
____ Sign Dimensions; Length & Width _____________, Height (if freestanding or pylon) _____________,
Depth of sign________________
____ Proposed Illumination Type ____________________________________________________________
____ Type of Construction__________________________________________________________________
____ Diagram/ Illustration of Proposed sign(s)
____ If wall sign, diagram should indicate placement of sign on building and dimensions of building (width &
height) to determine area of building face.
____ Complete Detailed Plans and Specifications (i.e. footings, post, size of all materials and all
fasteners etc)
____ For Billboard Applications
The distance from nearest billboard sign or signs: ________________________________________________
Signs which need a conditional use permit must pay BOTH the established sign permit fee, plus the
conditional use permit fee.
SIGN PERMIT APPLICATION LOCATION OF SIGN: _______________________________
2
I hereby certify that the information on this application is, to the best of my knowledge, true and correct.
I also certify that I am the owner or authorized agent for the above mentioned property and that all
construction will conform to existing State and local laws and will proceed in accordance with submitted
plans. I am aware that this sign permit will become null and void if the work for which the permit was
issued has not been completed within a period of six (6) months from this date. Furthermore, I hereby
agree that the City Building Inspector may enter upon the property to perform needed inspections.
_________________________________________ _____________________________________
Signature of Owner Date Signature of Applicant Date
THIS APPLICATION BECOMES YOUR SIGN PERMIT WHEN APPROVED.
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS
ADMINISTRATIVE USE ONLY
Submission Requirements Fee Schedule
____ Completed/ Signed Application Estimated Value of Sign Only
____ Scale Drawing (locate sign on site) to $500 $20.00
____ Plans and Specifications $501-$1,000 $30.00
____ Permit Fee $_______________ $1001-$2,500 $60.00
$Over $2,500 $80.00
This is to certify that the request in the above application and accompanying documents is in accordance with
the City Sign Ordinance and may proceed as requested. This document, when signed by the City Planner and
Building Official constitutes a temporary Certificate of Zoning Compliance and allows construction to
commence
Special Conditions:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Conditions Set:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Planning division: _____________________________ Building Official: ___________________________
Date Date
9/19
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Completed 12 July 2020

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