CITY OF ROSSFORD, OHIO
DEPARTMENT OF BULDING INSPECTION

#__________

Fee __________

Late Fee __________

APPLICATION FOR ADVERTISING SIGN PERMIT

The undersigned hereby makes application for a permit to allow the construction, installation, replacement or alteration of a sign as herein specified, agreeing to do all work in strict accordance with the Wood County Code of Building Regulations, State Codes and City of Rossford Ordinance 1379, and to save the City harmless from any damages.

Site Address ______________________________ Building Frontage*____________________________

Owner Name ______________________________ Address ____________________________________

Contractor ________________________________ Address ____________________________________

*Frontage means that portion of a building occupied by the applicant.

Class of Work: New _____ Alteration _____ Addition _____ Replacement _____

Type of Sign: Commercial _____ Industrial _____ Subdivision _____ Other _____, _________________

Dimensions of new sign: _____________________ Dimensions of existing signs __________________

Method of Attachment: _________________________________________________________________

___ Required site plan attached, including a drawing indicating the design proposal, the size, character and color of letters, lines and symbols, method of illumination and exact location of the proposed sign in relation to the building and property.

Signature _____________________________________  With __________________________________

Address ______________________________________ Telephone ______________________________

Date _________________________________________

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Recommended for Approval / Denial

__________________________________         ___________________________
Zoning Inspector                                             Date

Comments: ________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Approved / Denied

____________________________________      ___________________________
City Administrator                                            Date