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Project Address Application Date Lot Number Block Subdivision or Tract name Zoning Tenant Business Owner Mailing Address (Street, City, Zip) Contact Name Email Phone Sign Contractor Name Email Phone Electrical Contractor Name Email Phone Property Owner/Manager Name Email Phone Property Owner Signature (As property owner/manager, I have reviewed and approve this sign request Date Check One: ☐ Permanent ☐ Temporary Begin Date End Date Check all that apply: ☐ Wall ☐ Freestanding ☐ Projecting ☐ Marquee ☐ Banner ☐ Roof ☐ Electrical ☐ Single-Faced ☐ Double-Faced ☐ Triple-Faced or more ☐ Window ☐ Sidewalk sign Project Description: Electrical Valuation $ Total Project Valuation $ Site Plan Requirements: Submit a Scaled Site plan drawing that includes the following 1. Property lines of the property the sign is to be located on 2. Scale and North arrow 3. Location of Public streets, alleys, and driveways 4. Location and dimensions of building(s) on the property 5. Location of sign(s), existing and proposed 6. Setbacks of sign(s) from the property lines Elevation Drawing Requirements: For Freestanding signs, submit items 1-4, for all other signs submit all 1-8 of the following 1. Dimension sign frame, sign base, including height, width, depth, (from grade of freestanding signs) 2. Text/Figure design and dimensions of the copy/wording/verbiage 3. Colors and materials of the sign (including frame, sign face and base) 4. Indicate type of illumination/lighting to be used (direct/indirect/internal). Illuminated signs require permit and details for electrical work 5. Building elevation, including dimensions of wall and existing signs 6. Location of the sign on the building(s) or relative to the building(s) 7. Details of all connections, guy lines, supports, and footings 8. Foundation plan are to be stamped by a licensed structural engineer The information given on this application is accurate to the best of my knowledge. All provisions of laws and ordinances governing this work will be complied with, whether specified on this application or not. Granting a permit does not give authority to violate or cancel provisions of any other state or local law regulating construction or construction performance. Applicant Signature Date FOR OFFICE USE ONLY Building Frontage Ft. Sign Height from Grade Ft. Total Sign Area allowed for Lot Sq. Ft. Total Area of Existing Sign(s) Sq. Ft. Proposed Sign Area Sq. Ft. Area of Signage of Remaining Sq. Ft Comments/Special Conditions Staff Approval Initial Date ☐ Planning ☐ Building ☐ LURA ☐ Other Date Received Sign Permit Application 1290 S. Public Road I Lafayette Colorado 80026 [EMAIL REDACTED] I [PHONE REDACTED]