JOB/STREET ADDRESS:
PARCEL #: SUITE # (IF APPLICABLE)
LEGAL DESCRIPTION: SUBDIVISION UNIT/BLOCK LOT
SECTION TOWNSHIP N/S, RANGE E/W, SIZE OF PARCEL
PROPERTY OWNER(S)/RENTER/TENANT PHONE
MAILING ADDRESS CITY ST ZIP
BUILDER/CONTRACTOR PHONE
MAILING ADDRESS CITY ST ZIP
LICENSE # & CLASS
TYPE OF SIGN:
HEIGHT OF SIGN:
□ DIRECTIONAL □ FREE STANDING □ WALL MOUNTED □ FLAG POLE
□ ILLUMINATED WILL SIGN ILLUMINATION REQUIRE INSTALLATION OF NEW METER? YES NO
□ OTHER:
# OF FACES:
TOTAL SQUARE FEET OF SIGN:
EXISTING USE:
PROPOSED USE: (ex: Sign for Establishment Name)
CONTACT PERSON (WHOM DO WE CONTACT WHEN PERMIT IS READY FOR PICKUP AND/OR QUESTIONS?)
NAME PHONE
EMAIL
I UNDERSTAND THAT APPROVAL OF THIS APPLICATION DOES NOT GUARANTEE APPROVAL OF THE ACTUAL CONSTRUCTION.
I HEREBY CERTIFY THAT THE INFORMATION ON THIS APPLICATION AND ALL RELATED SUBMITTALS ARE TRUE AND CORRECT.
PRINT NA
ME PLEASE SIGNATURE OF OWNER/ AGENT DATE OF APPLICATION
SPECIAL CONDITIONS:
TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 85173/520-689-5752
MONUMENT/SIGN PERMIT
PERMIT FEE:____________________________
PLAN REVIEW FEE:_____________________
ADDRESSIGN FEE:______________________
ZONING FEE:___________________________
SUBMITTAL FEE:_______________________
PRINTING/MISC FEE:____________________
TOTAL FEE:_____________________________
ZONING :____________________________
NON-CONF:__________________________
ACT. VALUATION:____________________
ECD:____________________________
Permit :
Date:
*****************************FOR OFFICIAL USE ONLY*****************************
click to sign
signature
click to edit
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