TOWN OF RAMAPO
ROCKLAND COUNTY, N.Y.
TEMPORARY SIGN PERMIT APPLICATION
_____________________________________________________________________________________
DATE ISSUED: ____________________
FEE PAID: $250.00
$100.00 Non-Refundable
$150.00 Refundable
Separate Checks Must Be Submitted
NAME: _______________________________________________________________________________
ADDRESS: ____________________________________________________________________________
_____________________________________________________________________________________
CONTACT TELEPHONE NUMBER: _________________________________________________________
PURPOSE OF SIGN: _____________________________________________________________________
DATE(S) OF EVENT TO WHICH SIGN PERTAINS: ______________________________________________
DATE EXPIRES: ________________________________________________________________________
ATTACH HERETO A LIST OF NAMES AND ADDRESS OF RESIDENTS WHO GAVE YOU PERMISSION TO
PLACE YOUR SIGN ON THEIR PROPERTY
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