Sign Permit Application

User ID# (if applicable)       
Subject: 

Property Owner Or Occupant Information
* First Name:                 
* Last Name 
(This e-mail address will receive electronic notifications, it does not have to belong to the property owner)
* E Mail:          
* Phone        
* Address1               
   Address2      
* City:                 * State  
* Zip             

Location Of Sign If Different than Above
Address1               
Address2       
City                 State    
Zip

Installer Information
Company Name (if any)   
Installer Name  (First & Last) 
Installer's E-Mail
Installer's Phone
Address 1            
Address 2    
City         State           
Zip Code     

Permit Information                                                            
Number of signs on the property:     
Square footage of other signs on the property: 
Will signs be illuminated? Please Select Yes No

**Brewer Sign Ordinance, Article 4, Selection 401 prohibits signs to be illuminated with flashing or intermittent lighting.**

Will signs be revolving?   Please Select Yes No

Sign will be :   (Height)  Ft.   by   (Width)  Ft. 

C. Height off the ground (Ft.)