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Sign Permit Application

2. Application for Sign Permit
   The undersigned owner or agent, hereby applies to the Building Department of the City of Waukegan to erect/construct a sign hereinafter described. And if granted the permit applied for, I will comply with all of the requirements of the city sign ordinance relating thereto and pay the fees required by said ordinances. The building or structure is (or is to be) used for the purpose of (check one):
4. Property Description*

   1. Single Family Residential

   1. Multi-Family Residential

   1. Business/Commercial/Office

   1. Industrial

   Please check one box that applies to the location of work you are applying for
6. Sign Contractor Name*
7. Sign Contractor Address*
9. City, State, & Zip*
10. Sign Contractor Email Address*
12. Sign Contractor Phone Number*
14. Property Owner Name / Representative*
15. Property Owner Address*
17. City, State, & Zip*
18. Property Owner Email Address*
20. Property Owner Phone Number*
22. PROPERTY ADDRESS OF PROPOSED SIGN LOCATION*
    Application for sign permit of property located within the City of Waukegan limits
24. NAME OF THE BUSINESS AT LOCATION*
28. PROPOSED SIGN INFORMATION
30. TYPE OF PROPOSED SIGN*
    Describe in detail
32. Type of Sign*

    1. Ground
    2. Wall
    3. Window
    4. Blade
    5. Awning
    6. Other
33. Electrical Sign?*

    1. YES
    2. NO
34. Size of Sign*
    i.e. 2 x 8 ft
38. CURRENT SIGNAGE INFORMATION
40. Building Frontage*
    Linear Feet
41. Lot Frontage*
    Linear Feet
43. List of Current Signage at Location
    List out all current signage displayed/installed at the property location to include; ground, wall, window, blade, awning, and other signs in the fields below
45. Total Number of Ground Signs
46. Total Ground Sign Square Feet
48. Total Number of Wall Signs
49. Total Wall Sign Square Feet
51. Total Number of Window Signs
52. Total Window Sign Square Feet
54. Total Number of Blade Signs
55. Total Blade Sign Square Feet
57. Total Number of Awning Signs
58. Total Awning Sign Square Feet
60. Total Number of Other Signs
61. Total Other Sign Square Feet
63. Applicant Name*
64. Applicant Phone #*
66. Attach a Scale Drawing of Sign*
    A scale drawing of the sign(s)
68. Attach a Scale Drawing of Property*
    A scale drawing of the property showing the location of any ground sign proposed and setback distance from lot lines
70. Attach Plans and Specifications*
    Plans and specifications for sign installation
72. Attach Electrical diagrams and specifications
    ONLY required with sign with electrical components - Electrical diagrams and specifications
74. Attach Sign Contractor Insurance*
    Certificate of Insurance as required by City Ordinance - All contractors must be registered with the City of Waukegan
76. Attach Contractor License and Permit Bond*
    License and Permit Bond as required by City Ordinance - All contractors must be registered with the City of Waukegan
78. E-Signature*

    By clicking on 'Electronically Sign' below, you understand that an electronic signature is taking place and you intend to be bound by and authenticate this electronic record and attest to the statements contained within, and that you understand that submitting another individual's electronic signature or attesting to false statements in an electronic record is a false statement that is punishable as unsworn falsification under AS 11.56.210; is an offering of a false instrument for recording that is punishable under AS 11.46.550; and may constitute other crimes such as perjury, theft, attempted theft, criminal mischief, forgery, criminal impersonation, scheme to defraud or criminal use of a computer; or other criminal offenses under state, municipal, or federal law. As the owner or owner's legal agent of the property identified above, I hereby consent to the installation of this sign upon said property and accept the responsibilities and eventual removal of the sign as provided by the City of Waukegan Sign Ordinance.

    1. Electronically Sign
Leave This Blank:


80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit Submit and Print

* indicates a required field