Sign Permit Request
Applicant Name*
Mailing Address*
Applicant City, State, Zip*
Applicant Telephone*
Applicant Email Address*
Lot Area
Current Use*
Proposed Use*
Is the lot a corner lot?
Name of property
Describe proposed sign(s). Include information about lettering, materials, colors, illumination (internal or external), and any other characteristics
Type of Sign
Indicate the square footage of each sign
Indicate the height from grade of each sign
Distance of proposed freestanding sign from property line
What is the width of the portion of the lot fronting a public street
What is the height of the principal building measured from the ground level to the eaves of the building?
Number of existing free standing signs
Number of existing attached/painted signs
Indicate the square footage of each existing sign
Contractor Name
Contractor Phone
Please email any documents or files to dmbishop@countyofamherst.com or sgstinnett@countyofamherst.com
**E-signature***
By typing my name in the **E-signature** box above, I hereby certify that the information and attachments provided are true and accurate to the best of my knowledge.
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