SIGN PERMIT APPLICATION HOPKINSVILLE, KENTUCKY ON SITE INSPECTION SHALL BE DONE PRIOR TO ISSUING PERMITApplicant’s Name:* Date:* MM slash DD slash YYYY Mailing Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Sign Location:* Lot Front’s on What Public Street?* Lot Type* Interior Corner Local Zone* New or Replacment Sign:* New Replacment Sign Type* Wall Sign Pylon Sign Temporary Sign Square footage of sign:*Cost of Sign:*Number of Faces (Sides)* One Two Height of Sign:*Will Sign be Illuminated:* Yes No Are there any existing signs on property:* Yes No Type Is any part of the property in the Flood Plain?* Yes No Does the structure obstruct a natural drainage?* Yes No Have all utility and drainage easements on the property been designated on the sketch?* Yes No Will the sign be placed in any utility or drainage easements:* Yes No Setback off right-of-way or property lineFront Yard* Rear Yard* Left Yard* Right Yard* SIGNATURE OF APPLICANT* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY SIGNATURE OF PROPERTY OWNER* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY Name of Builder* License #* Name of Electrician In Compliance Yes No Sign Permit No. Electrical Permit No. Permit FeeBuilding Inspector Date MM slash DD slash YYYY SKETCH PROJECT SHOWING STREETS, PROPERTY LINES, EXISTING AND PROPOSED STRUCTURES, SETBACK DISTANCES AND ALL UTILITY AND DRAINAGE EASEMENTS. Reset signature Signature locked. Reset to sign again Or upload sketchAccepted file types: pdf, jpg, png, gif, Max. file size: 16 MB. The above information is true and correct to my best knowledge and belief.SIGNATURE OF APPLICANT* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY Sign Permit Fee* Price: $25.00 $25 plus $1 per sq. ft.Temporary Sign Fee* Price: Total $0.00 PhoneThis field is for validation purposes and should be left unchanged.
