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All fields with a double asterisk and yellow highlights are mandatory and must be filled in by the applicant. Blank mandatory fields render the application incomplete and automatically denied. County personnel outside of the Code Enforcement Department may not assist you in completing this application. Revised 10/15/2009 Douglas County Sign Permit Application Zoning: **Value of Sign: _ **Sign Location: _ Land Lot: District: Section: Parcel: Property Size: **Property Owner **Business Owner **Name: **Name: **Address: **Address: **Telephone: **Telephone: **Sign Installer Name: **Address: **Telephone: **Sign Installer License **Sign Description: Permanent: Temporary: Billboard: Other: **Area (size of sign): **Height: Nearest Building: Nearest Dwelling: Setbacks Front (street R/W): Side: Rear: Stipulations: **Sign is electrical: (‘Yes’ or ‘No’) Call [PHONE REDACTED] for electrical permit determination Owner and/or agent hereby agrees that he/she/they will comply with all requirements of the Douglas County Sign Ordinances now in effect and that all construction shall conform to the plans submitted and approved including but not limited to the dimensions of sign face, overall height, all structural details and setback requirements. **Owner/Agent: **Date: County Official: Date: Development Services Director: Date: DOT Director: Date: **Date: Permit Expiration Date: Permit Fee: $ Cash: or Check