LAWRENCEBURG
IMPROVEMENT LOCATION PERMIT
SIGN APPLICATION

Application #                                             Date Received __________________   
                                                           
 Project Location:     _______________________________________________                                                               

1.	The undersigned agrees that any construction, enlargement or alteration of any sign structure shall receive the proper permits and shall comply with and conform to all applicable laws of the State of Indiana, and the Zoning Ordinance of the City of Lawrenceburg, Indiana.

2.	All applications for a sign permit shall be accompanied by the following items:

a.	Site plan showing location of sign/signs

b.	Drawing showing size and contents of signs/signs

3.	Owner/Applicant:

 Name:      _____________________________________________________

Street:      _________________________________________________                                           

City:         __________________________          Zip    _____________                                        

Phone:      ______________________     Fax:    ___________________                                      

4.	CONTRACTOR ERECTING SIGN

Name:	     _________________________________________________   

Street:       _________________________________________________ 

      City:          __________________________         Zip    ______________

       Phone:       _____________________     Fax     ____________________

5.	SIGN INFORMATION

A.	Type of sign:___________________________________________

B.	Placement:

Ground____, Pole____, Wall_____, Awning_____, Window_____

C.	Type of Lighting: _______________________________________

D.	Height Above Grade: ____________________________________

E.	Dimensions:

Ground:   ____________Sq. Ft.         Pole:   _____________Sq. Ft.

Wall:        ____________Sq. Ft.      Awning:_____________Sq. Ft.

Window:  ____________Sq. Ft.       Other:  _____________Sq. Ft.

                                                         Proposed Total: _____________Sq. Ft.
F.	Existing Signs:

Ground:   ____________Sq. Ft.          Pole:   ____________Sq. Ft.

Wall:       ____________Sq. Ft.       Awning: ____________Sq. Ft.

Window: ____________Sq. Ft.        Other:   ____________Sq. Ft.
                                   
                                                             Existing Total: ____________Sq. Ft.

APPLICANT’S SIGNATURE ___________________________________

(Office Use Only)

Improvement Location Permit #_____________       Date Issued _________________

By (Zoning Officer’s Signature) ____________________________________________

Permit Fee $______________       Cash ___________       Check # ________________

 Receipt # _________________                Received By __________________________