Sign Permit

Property Owner
Name*
First Last
Telephone Number*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Applicant
Name
First Last
Telephone Number
Mailing Address
Street Address Address Line 2 City State ZIP Code
Email Address*
Mailing Address
Street Address Address Line 2 City State ZIP Code
Type of Sign
Proposed Sign Dimensions
First Last
Top of sign from grade

ft.
Total square feet of existing sign(s)

sq. ft.
Total square feet of proposed sign(s)

sq. ft.
Further description of proposal
A plan drawing is required and shall depict sign dimensions with proposed text and the location of proposed signs from property lines, state right of way, and existing buildings. Contact Lancaster County Building Office at (804) 462-5129 relevant to any building/electrical permit requirements. Contact Miss Utility at 811 prior to digging
Attach drawing
Accepted file types: pdf, jpeg, gif, png, Max. file size: 50 MB.
Supported formats: PDF, JPEG, GIF, PNG
Permit fees are based on sign cost:
For sign cost up to $99, the fee is $15.00
For sign cost between to $100 and $999, the fee is $25.00
For sign cost over $1,000, the fee is $50.00

I hereby certify that I have the authority to make the foregoing application, that the information given is correct and that the sign will conform to the regulations in the town code.
Sign Here*
First Last
Consent*
I agree to electronically sign and to create a legally binding document between the other party and myself, or the entity I am authorized to represent.*

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Sign Permit

Town of Kilmarnock

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