Appendix A — Application for Permit to Erect or Alter Outdoor Signs Application for Permit to Erect or Alter Outdoor Signs

1.     Type of Sign : _____________________________________________________________________
2.     Location of Sign : _________________________________________________________________
       __________________________________________________________________________________
3.     Details of Sign

a)     Dimension                    i)     Length _________________________        m
                                    ii)    Width __________________________        m
                                    iii)   Thickness _______________________       mm

b)     Clearance and Projection     i)     Clearance _______________________       m
                                    ii)    Projection _______________________      m

4.     Type of Materials Used              i)     Noncombustible
                                           ii)    Approved plastic
                                           iii)   Combination

5. Details of Electrical Installations (if any) : ____________________________________________

__________________________________________________________________________________

6.     Structural details of signs and supporting structures including foundations : _______________
       __________________________________________________________________________________

7. This application is accompanied by all required plans, drawings and other details as required by Sec 1.4.3 of this code.

Yes _______________ No ____________

________________________                                ______________________
Signature of owner of                                   Signature of Applicant
the Building/Premise
                                                        Date _________________

Date ___________________

Name in Full __________________________                 Name in Full _________________________
Address _______________________________                 Address _____________________________