TOWN OF NORTH EAST
19 N Maple Avenue, PO Box 516, Millerton, NY 12546
P 518-789-3300 x606, F 518-789-3399
ne.buildingdept@taconic.net
I:\BUILDING DEPT TEMPLATES\Application for Sign Permit.pdf (revised 11/2019)
APPLICATION FOR SIGN PERMIT
DATE: ________________ PERMIT: ________________
NAME OF
BUSINESS: _______________________________________________________________
APPL
ICANT’S NAME: _______________________________________________________________
MAIL
ING ADDRESS: _______________________________________________________________
PHONE:
______________________________ EMAIL: ______________________________
PARCEL GRID NO.: ______________________________ ZONING DISTRICT: _____________
LOCAT
ION (if different from above): ____________________________________________________
Type of Business (describe briefly): ______________________________________________________
_____________________
_______________________________________________________________
FAÇADE WALL SIGN
Side of
building to which sign will be attached: Front wall Rear wall Side wall
Wid
th of wall to which sign will be attached: __________ sq. ft.
Are there any other signs attached to this wall?
Yes No
Proposed area of sign face: __________ sq. ft.
Will the sign be illuminated? Yes
No
GROUND SIGN
Proposed setback from road right-of-way: __________ sq. ft.
Proposed height of sign: __________ ft. Proposed area of sign face: __________ sq. ft.
Will the sign be illuminated? Yes No Interior illumination? _____ Floodlights? _____
Is the proposed sign new or a renovation of an existing sign? __________________________________
SIGNATURE OF APPLICANT: _____________________________________________
________________________________________________________________________________________________________
PERMI
T FEE $____________ RECEIPT #____________ DATE: _______________
BUI
LDING INSPECTOR: ____________________________________________
click to sign
signature
click to edit
![]()
