Temporary Sign Permit Application A,lbertvill-le
Small'r u.iun Living. Big(:iiia, Life.
TEMPORARY SIGN PERMIT APPLICATION
Date Received:
Date Notified:
Date Paid: Check/Cash/CC:
Permit#:
Expire Date:
Please print or type all information. Property owners' approval is required for temporary signs by
signature below or letter of approval submitted with application.
Please review the Albertville Sign Ordinance which can be found on the City's website at
www.ci.albertville.nm.us.
Applicant's Name Address
Applicant's Cell Phone Email
Applicant City State Zip
Applicant is (please check one): Owner Contractor Other
Address of Temporary Sign Location
PID#of Sign Location
PRINTED Property Owner's Name Signature of Owner (Required)
Street Address Property Owner's Phone
City State Zip
Sign Contractor's Name Phone Number
Street Address Email
City State Zip
CITY OF ALBERTVILLE 5959 MAIN AVENUE NE 763.497.3384 x103
BUILDING DEPARTMENT ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US
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Permit Cost: $35.00 per 14 days per propertv- up to four consecutive permits
Type of Sign Requested(Check all that apply):
D On Premise 0 Off Premise D Charitable Organization
Business/Development/Organization Name:
Location of Sign on Property: (MUST INCLUDE SITE PLAN OR AERIAL PHOTO)
Verbiage on sign:
Length of Permit: No. Permits Already Issued this Year:
Width: X Height: = Total Square Footage
Terms and Conditions:
Signs erected without a permit or in violation of the City's ordinance may be subject to immediate
removal and/or be subject to an administrative fine per Chapter 6 of the Albertville City Code. After one
(1)notice of a sign violation of the Albertville Sign Code,the City shall levy administrative fines for
subsequent violations or repeat offenses without additional notice. Failure to abide by the approved
permit or the provisions of the Albertville Sign Code will be grounds for denial of additional permits for
six(6)months following notice of violation.
Sign Permits will not be processed if incomplete.
I hereby certify that I have furnished information on this application, which is to the best of my
knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above
mentioned property and that all construction will conform to all existing state and local laws and will
proceed in accordance with submitted plans. I am aware of the aforementioned penalties for permit
violation and that this permit can be revoked for just cause. Furthermore,I hereby agree that the City
Official or a designee may enter upon the property to perform needed inspections.
I hereby confirm that I have read and agree to the previously stated terms and conditions:
Signature of Applicant Date
Building Official Signature Date Approved
CITY OF ALBERTVILLE 5959 MAIN AVENUE NE 763.497.3384 x103
BUILDING DEPARTMENT ALBERTVILLE,MN 55301 WWW.CI.ALBERTVILLE.MN.US
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