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CITY OF BLOOMINGTON Planning Department 401 N. Morton St., Bloomington, Indiana 47404 Phone: 812-349-3423 Fax: 812-349-3535 Email: planning@bloomington.in.gov SANDWICH BOARD SIGN PERMIT APPLICATION *MAKE CHECKS PAYABLE TO THE CITY OF BLOOMINGTON Date Applied: ____________________________ Applicant’s Name: _________________________ Applicant’s Address: _______________________ Applicant’s Phone/Fax #: ___________________ Name of Business: _________________________ Address of Business: ________________________ Height of sign? ____________ (Max. height=4.5 feet) Width of sign? _________ (Max. width=2.75 feet) Face ht x Face width = Sign face area Height Sign face area? ____________ (Max. sign face area=5 sq. feet) Width (OFFICE USE ONLY) Application #: _______________ Permit Fee: $75.00 Date Issued: ________________ Permit Reviewer: _____________ Is sign base weighted with at least 10 pounds of ballast? ______ Is sign at least 10 feet from nearest sandwich board sign? ______ Is sign at least 4 feet away from all sidewalk obstructions? _____________ Width SITE PLAN REQUIREMENTS In order to receive a sandwich board sign permit, the applicant shall submit a site plan containing the following elements: 1. Scale and North arrow 2. Location of sign 3. Width of sidewalk 4. Distance between building and sign location 5. Distance between curb edge and sign location. CERTIFICATION I am the owner or authorized agent responsible for compliance, and hereby acknowledge the following: 1. 2. 3. 4. I have read this application and all related documentation and I represent that the information furnished is correct. I agree to comply with all City ordinances and State statutes which regulate construction, land use, and occupancy. Any changes made to sign dimensions or location shall be submitted to the City of Bloomington for review. If any misrepresentation is made in this application, the City may revoke any Permit or Certificate issued based upon this misinformation. 5. No sign installation is allowed until a permit has been issued from the Planning Department. Applicant’s Signature Date If you have any questions about sandwich board requirements, please call the Bloomington Planning Department @ 812-349-3423. I: common\enforcement\enforcement\PERMIT APPLICATION Sandwich Board.doc