Sign Permit Application | City of Holly Springs

Sign Permit Application - City of Holly Springs

Subdivision:

Lot #:

Zoning:

Sign Site Address:

Sign Site (Owner):

Sign Site Contractor:

Address

Phone #:

Applicant:

Fence Contractor Address

Address

Fence Contractor Phone #

Phone #

Name of Business/Activity on Sign:

Sign Size:

Sq Ft Sign:

Height of Sign:

Illuminated:

Type of Sign: (copy)

I, THE UNDERSIGNED, AS OWNER OR CONTRACTOR UNDERSTAND THAT I AM RESPONSIBLE FOR ANY DAMAGES INCURRED WHILE DIGGING, IF I HAVE NOT CONTACTED MS-ON-CALL AT 1-800-227-6477 TO HAVE LINES LOCATED BEFORE WORK IS BEGUN.

I, THE UNDERSIGNED, CERTIFY THAT THE DESCRIBED WORK LISTED ON THIS PERMIT IS TRUE AND CORRECT, AND THAT ALL ANSWERS TO QUESTIONS HEREIN PROPOUNDED AND MAPS ATTACHED ARE TRUE. I ACKNOWLEGE THAT ANY PERMIT GRANTED ON THE REPRESENTATION HEREIN MADE MAY BE REVOKED AT ANY TIME, WITHOUT NOTICE, ON A BREACH OF REPRESENTATION OR VIOLATION OF CITY CODES.

Valuation of Work $:

Date to Erect Sign:

IF THIS SIGN IS NOT ERECTED IN SIX (6) MONTHS, THIS PERMIT IS VOID AND MUST BE RENEWED.

I, THE UNDERSIGNED, AS OWNER, APPLICANT OR CONTRACTOR UNDERSTAND THAT I AM RESPONSIBLE FOR ANY DAMAGES INCURRED WHILE DIGGING, IF I HAVE NOT CONTACTED MS-ONECALL AT 1-800-227-6477 TO HAVE LINES LOCATED BEFORE WORK IS BEGUN.

APPLICATION IS HEREBY MADE FOR A SIGN PERMIT UNDER THE PROVISIONS OF AN ORDINANCE OF THE CITY OF HOLLY SPIRNGS AND THE UNDERSIGNED APPLICANT HEREBY REPRESENTS THAT ALL ANSWERS TO QUESTIONS HEREIN PROPOUNDED AND MAPS ATTACHED ARE TRUE, THAT THE PERMIT APPLIED FOR, IF GRANTED ON THE REPRESENTATION HEREIN MADE, AND THAT THE PERMIT ISSUED HEREUNDER MAY BE REVOKED AT ANY TIME, WITHOUT NOTICE, ON A BREACH OF REPRESENTATION OR CONDITIONS. IT IS UNDERSTOOD THAT ANY PERMIT ISSUED ON THE APPLICATION WILL NOT GRANT ANY RIGHT OR PRIVILEGE TO ERECT ANY STRUCTURE OR USE OF THE PREMISES HEREIN DESCRIBED FOR ANY PURPOSE THAT IS PROHIBITED BY THE ZONING REGULATIONS. ALL PROVISIONS OF THE ZONING REGULATION ORDINANCE COVERING THE USE OF PROPERTY AND THE HEIGHT OF THE BUILDING WILL BE COMPLIED WITH WHETHER HEREIN SPECIFIED OR NOT.

APPLICANT/CONTRACTOR:

Date:

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