Sumner COUNTY REGIONAL PLANNING COMMISSION
355 N. Belvedere Drive, Room 202, Gallatin, Tennessee 37066
OFFICE (615)451-6097 FAX (615)451-6074
SIGN PERMIT APPLICATION $50 Fee
Applicant / Contractor Name Applicant/ Contractor Phone No.:
Address: Applicant/ Contractor Fax No.:
City, State, Zip: Applicant/ Contractor E-mail Address:
Owner Name: Owner Phone No.:
Address: Owner Fax No.:
City, State, Zip: Owner E-mail Address:
PROPERTY AND SIGN INFORMATION
Address of property proposed sign will be located: Zoning district sign will be placed: Dimensions of signs proposed
Tax Map Group Parcel
Type of new sign(s): Freestanding W all Projecting Commercial Flags Canopy Billboard
Proposed illumination method:
If electrical work is involved a
separate electrical permit for the
sign is required.
Internal External None
Will the sign include an electronic message
center?
Yes No
Description of work proposed (i.e. method of construction and/or attachment to a building, or in the ground,
number of signs, etc.):
ADDITIONAL REQUIRED INFORMATI ON
A scaled site plan showing the location of the sign on the site with setbacks accurately dimensioned. This
site plan should also show location of all existing buildings, roads, parking areas, signs & entrances/exits on the site.
Two (2) copies of scaled schematic of the proposed sign showing:
•
Height of finished sign above finished grade;
•
Surface of sign (material, color and dimensions)
•
Dimensions & display area of proposed sign;
•
Any proposed illumination; and
•
Additional information as deemed necessary
to ensure compliance with these regulations.
CERTIFICATION: Any change in the information in this application/compliance certificate shall be submitted to this
De
partment within seven (7) days after the change. Compliance with all applicable requirements must be
accomplished and maintained in order to construct/install a sign. By pursuing the permit to install a sign, you are
committing to do such
.
I hereby cerrtify that the information contained in this application is true and correct to the best of my knowledge
and
Sign Permit Number: 20___-___
