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SIGN APPLICATION FOR CHANGE OF COPY Planning Division ([EMAIL REDACTED]) Date: 38250 Sierra Highway Fee: $105 Palmdale, CA 93550 (661) 267-5200 APPLICANT: Name: Phone Number: Address: Applicant’s Interest in Property: Plans Prepared By: LOCATION: Address (If Assigned): General Location (Reference to Nearest Cross Streets): Assessor’s Parcel Number: DESCRIPTION: Number of Signs Requested: Type of Sign(s) monument, wall-mounted, pole, etc.): Description of Sign(s) can, painted, neon, etc.): Dimension of Sign(s): I hereby certify under penalty of perjury that the statements furnished present all information required for this application, and that the facts, statements, and information presented are true and correct, and based upon my personal knowledge. To the best of my knowledge, the sign for which this application is to permit a change of copy was erected legally and is currently being maintained as such. I further certify that this application is made only for a change of copy and that no structural or other modifications to the existing sign will occur as a result of the change of copy. I acknowledge my obligation to comply with the Palmdale Municipal Code and understand that should I fail to comply, the sign approval may be revoked and all other applicable penalties, including criminal prosecution, may be pursued. Applicant’s Signature Date