Fillable Town of Pine Plains Planning Board Sign Permit (Town of Pine Plains)

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Town of Pine Plains Planning Board Sign Permit (Town of Pine Plains)

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Town of Pine Plains
Planning Board
Sign Permit Application
Use only for a Sign permit without full Site Plan review
Please review Article X of the Pine Plains Zoning Law before applying.
Type or print clearly
Name of Sign Owner and/or Business name appearing on sign:
_________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Location/Street Address: ___________________________________________
_______________________________________________________________________
_______________________________________________________________________
Tax Map Number of Parcel:
_______________________________________________________________________
Detailed Description of Proposed Sign including all requirements of Section 100-51 of the PP
Zoning Law. (Attach additional sheets as required and include the wattage of any proposed
lighting)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1
Print Form
Name, Address, Telephone & Email of Applicant and/or Applicant’s agent:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Is the Applicant the Property Owner? If no, list Name, Address, Telephone & Email
of the property owner(s):__________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
If the applicant is not the owner of the subject property, the applicant shall provide the
Planning Board with a notarized statement from the owner authorizing the applicant to
act for the owner as agent for the owner and to make the application for the sign permit.
The statement shall be submitted on a form supplied by the Planning Board.
Has the Zoning Board of Appeals taken action on this project? ________
Zoning District(s) the property lies within: _____________________________________
_______________________________________________________________________
Current Use of Site: __________________________________________________
The signature of the Owner or Agent of the Owner below shall certify that the applicant
is familiar with and will comply with the requirements of the Pine Plains Zoning Law
with regards to this sign permit application.
Additionally, said signature will serve as written permission for the Planning Board,
ZEO, Building Inspector, or any of the Town’s contracted consultants or agents to
conduct site visits as may be required during the review and subsequent construction.
Signature: _______________________________________________________________
Print or Type Name: ______________________________________________________
Date: __________
2
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Town of Pine Plains Planning Board Sign Permit (Town of Pine Plains)

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Completed 14 July 2020

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