3/26/2019
Along with this application please provide electronic files of the following:
o Drawing(s) of s
ign dimensions, text, and mounting details
Property Owner’s Name:
Email: Phone:
Address: City, State, Zip:
Applicant’s Name:
Email: Phone:
Address: City, State, Zip:
Site Specific Information
Address of Sign Location: Business Name:
Sign Size: Proposed Usage Dates:
Sign Location on Site:
Description of Sign Mounting:
Sign Type: Banner Pennant Real Estate Construction
C Community Event
Flag
Other:
Has the project been reviewed & approved by an HOA / Development Design Review Committee?
Yes No Not Applicable Applicant Initials:
Required Si
natures
BY SIGNING BELOW, I ACKNOWLEDGE THAT THE APPLICANT IS REQUIRED TO REMOVE THE SIGN
PROMPTLY AT THE END OF THE APPROVAL PERIOD.
Property Owner's Signature Printed Name Date
Applicant's Signature Printed Name Date
(PLANNING, ENGINEERING & BUILDING SERVICES OFFICE USE ONLY)
TEMP SIGN PERMIT STATUS: APPROVED DENIED & REASON:
REVIEWED BY: DATE: TEMPORARY SIGNAGE APPROVAL PERIOD:
CONDITIONS OF APPROVAL:
TEMPORARY SIGN PERMIT APPLICATION
Liberty Lake Planning, Engineering & Building Services
22710 E Country Vista Drive, Liberty Lake, WA 99019
Phone: (509) 755-6726 Fax: (509) 755-6713
Website: www.libertylakewa.gov
Email: permitcenter@libertylakewa.gov
click to sign
signature
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click to sign
signature
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