APPLICATION MUST INCLUDE A PLOT PLAN OF THE PROPERTY SHOWING SIZE AND LOCATION OF THE BUILDING AND THE LOCATION OF THE PROPOSED SIGN ALONG WITH THE NECESSARY DRAWINGS DESCRIBING SAME AND SHOWING NECESSARY STRUCTURAL REQUIREMENTS AS PER SIGN ORDINANCE AND 1996 BOCA CODE.

BUSINESS NAME*

PHONE #*

BUSINESS ADDRESS*

BLACK JACK, MO 63033

OWNERS NAME*

OWNER'S ADDRESS*

CITY, STATE, ZIP*

OWNERS PHONE NUMBER*

LOCATION OF SIGN*

TYPE OF SIGN
see sign permit information for a description of each kind of sign*

ATTRACTION DISPLAY (BANNER) CANOPY SIGN GROUND SIGN INFORMATION SIGN RESIDENTIAL/HOME OCCUPANTION PROJECTING SIGN

SUBDIVISION SIGN TEMPORARY SIGN WALL SIGN WINDOW/GLASS ELECTRONIC CHANGING IMAGE MESSAGE SIGN

LENGTH *

WIDTH*

MAXIMUM HEIGHT*

TYPE OF MATERIAL*

TYPE OF LIGHTING*

ELECTRIC SERVICE REQUIRED *

YES

NO

EMAIL THE FOLLOWING: COPY OF SIGN, SITE PLAN, ENGINEERED PLANS to deputycourtclerk@cityofblackjack.com

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FOR OFFICE USE ONLY DO NOT WRITE BELOW THIS AREA

APPROVED __________ REJECTED__________ RESUBMITTED__________

CONDITIONS:________________________________________________________________________________________________

IINSPECTIONS REQUIRED: PIERS__________ELECTRICAL SERVICE__________FINAL__________

APPROVAL BY______________________________

TITLE _________________________________

DATE _________________________________