Sign Permit Application (Non-Special Use) Please enable JavaScript in your browser to complete this form.Date Submitted *Location of Sign *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty Owner Name *FirstLastProperty Owner Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty Owner PhoneProperty Owner Email Address Date Owner REQUIRED DOCUMENTATION: 1. Photo(s) or rendering(s) of sign. 2. Dimensions, materials and required details of construction including loads, stresses and anchorage (if applicable). File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 10 files. No representation in this Application, nor any statement, schedule or exhibit furnished by the Applicant or Owner pursuant to this Application shall contain any untrue statement of a material fact or shall omit a material fact necessary to make the statements, schedules or exhibits contained therein not misleading. Submission of any untrue statement or omission of material facts shall herein be grounds for the immediate revocation of any Permit issued pursuant to this Application. I HEREBY ACKNOWLEDGE THAT I AM THE OWNER OR DULY AUTHORIZED TO ACT IN THE OWNER’S BEHALF AND HEREBY AGREE TO COMPLY WITH THE APPLICABLE REQUIREMENTS OF THE CODES OF THE CITY OF CLARKSON VALLEY, MISSOURI AND THAT I HAVE READ THIS APPLICATION AND GIVEN CORRECT INFORMATION AND UNDERSTAND THAT THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. Submit
