BUILDING PERMIT

for

Construction of a Sign

Date of Application:  _____________________           Permit Number:  ____________

                                                                                          Index Number:  ____________

Name of Applicant:  ______________________________________________________

Name of Owner:  ________________________________________________________

Property Address:  _______________________________________________________

Does this office have the contractor’s insurance on file?  _______________________

Property Zoning:  __________           Contractor to do work:  ___________________

Description of sign to be erected:  __________________________________________

_______________________________________________________________________________________________________________________________________________.

Are there any VARIANCES or SPECIAL EXCEPTIONS on file pertaining to this

property?  _________________________          Initial __________________________

Please complete plot plan to illustrate the exact location of proposed sign.

Estimated cost of construction:  $___________________________________________

Date:  ______________   Disapproved:  _________________   Date:  ______________

Reason for Disapproval:  __________________________________________________
_______________________________________________________________________.

__________________________________                ______________________________

                        Applicant                                                          Building Inspector

Permit Fee:  $_____________________                Received by:  ___________________

BEFORE YOU DIG, CALL 1-800-242-1776

EDINBORO ZONING ORDINANCE NO. 457

503.4 Sign Permit:  A sign permit shall be required prior to the erection or alteration of any sign, except those signs specifically exempted from this requirement in Section 4 of this Ordinance.

          (a)     Application for a sign permit shall be made in writing to the                   Zoning Officer and shall contain all information necessary                       for such Officer to determine whether the proposed sign or                      the proposed alterations conform to all the requirements of                          this Ordinance.

          (b)     No sign permit shall be issued except in conformity with the                             regulations of this Ordinance, except after written order                        from the Zoning Hearing Board or the courts.

          (c)     All applications for sign permits shall be accompanied by                       plans or diagrams in duplicate and approximately to scale,                         showing the following:

                   (1)     the exact dimensions of  the lot or building upon                                      which the sign is proposed to be erected;

                   (2)     the exact size, dimensions and location of the said sign                           on the lot or building;

                   (3)     any other lawful information which may be required                               by the Zoning Officer.