Sign Permit Application

Owner of the Premises Where Sign will be Installed

Name(Required)

Email Address(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

Contractor Information

Name(Required)

First Last

Contractor(Required)

Name

Email(Required)

Phone #(Required)

Address(Required)

Street Address City State ZIP Code

Individual Responsible for Payment

Name(Required)

Phone #(Required)

Location of Sign Installation:

Location of Sign Installation(Required)

Street Address, City, State, Zip Code

Use of Structure or Site(Required)

Use of Structure or Site

Zoning of Structure or Site

Type of Sign(Required)

Type of Sign

Sign Height (ft)(Required)

Sign Width (ft)(Required)

Total Sq Ft(Required)

Estimated Cost of Sign Installation(Required)

Estimated Date of Sign Installation(Required)

Will the sign be illuminated?(Required)

Supporting File Upload(s):

Drop files here or

Max. file size: 100 MB, Max. files: 3.

Certification of Owner

I certify that the information provided in this application and in any plans, drawings or additional information furnished with this application is true, and that a sign established pursuant to a permit issued based on this application will be erected and maintained in full compliance with the zoning ordinances and building codes of the City of Bedford and State of Indiana.

Owner Name(Required)

Certification of Contractor Responsible for This Permit

I certify that I have the authority to make the foregoing application, that all accompanying documents are complete and correct and that the demolition activity will comply with applicable Ordinances of the City of Bedford and the State of Indiana.

Contractor Name(Required)

Sign Permit Application

City of Bedford, Indiana