12wkTempSign Revised 08/2018
TEMPORARY SIGN PERMIT (12 CONSECUTIVE WEEKS)
Address of Business: _______________________________________________________________________
PIN Number (If known): ____________________________________________________________________
Name of Business: _________________________________________________________________________
Applicant Name (print): ____________________________________________________________________
Mailing Address:___________________________________________________________________________
Telephone:________________________________________________________________________________
Email/Fax:________________________________________________________________________________
Size: ________________________ X ________________________ = ______________________ Square Feet
(MUST NOT BE LARGER THAN 32 SQ FT)
Temporary Sign Restrictions:
Only one sign allowed upon issuance of this permit
Sign must be located outside of any public rights-of-way (see below).
Sign must be safely attached to ground or permanent structure on the lot.
No sign shall be attached to a utility pole, tree, or other natural object.
Sign must be removed by expiration date.
The undersigned hereby makes application for permit of the sign as described herein and agrees to comply
with all applicable laws regulating such signs.
Signature of Applicant: ____________________________________________ Date: ________________________
* This permit must be kept on site. Please attach the fee with application payable to City of Hickory.
* This permit shall not limit the City’s authority to take additional enforcement actions permitted by the L.D.C.
Pavement
Edge of
Right of Way
Main
Roadway
Side Road
Or
Driveway
Utility
Lines
10’ x 70’
Sight triangle
Right-of-Way Diagram
Building
Building
click to sign
signature
click to edit