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  1. ITEMS NEEDED FOR A SIGN PERMIT:

    * Application
    * Payment of a $100 fee
    * A site plan including the property lines; setbacks from all property lines; setbacks from nearest residential zoning district; setbacks from nearest dwelling unit; setbacks from nearest on-premise and off-premise signage; GPS coordinates and a drawing of what the sign will look like showing dimensions and angles
  2. TO BE FILLED OUT BY APPLICANT/OWNER:
  3. In a summary describe your sign
  4. Flood Hazard Area: April 17, 2012*
    All building permits requested that have any part of the property in a floodplain may be required to also obtain a floodplain development permit (FPD).
  5. This is the FEMA FIRM PANEL # which tells us where you are located within the Floodplain.
  6. Acknowledgement*
    The OWNER, APPLICANT, OR AUTHORIZED AGENT, ACKNOWLEDGES:That he/she has read and received a copy of the permit application concerning the requirements of this matter; that he/she authorizes the Lawrence County Planning Department staff and designees to enter onto and inspect the above-described property; that he/she acknowledges the payment of the sign permit fee does not constitute issuance of the sign permit; that he/she agrees that construction covered by this permit shall not be commenced until such time he/she has received a copy of this permit form signed by the Administrative Official; and that he/she has been advised of the fee requirements and they have been paid. That if the signatory below is someone other than the property owner, the signatory represents and warrants they have full authority to sign this permit on behalf of the property owner and to bind the owner to all terms and conditions herein.
  7. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  8. FOR OFFICE USE ONLY
  9. Leave This Blank:

  10. This field is not part of the form submission.