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Town of Cloverland Application/owner
Name_____________________________ Phone __________ Mail Address___________________________ E-mail Address ________________________ Location Address__________________________________________________________________ Notice to Applicant: No sign shall be installed, erected, altered or modified without the prior approval of a sign permit application. Instructions: A. Complete application to dotted line ( ) Single Face ( )
Ground Sign ( ) Side by Side ( ) Back to Back ( )
Free Standing
( ) Other (describe) - - - - - - - - -
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PERMIT Fees: New sign $45 each: additions/alterations $35 each: X #____ = total $_____ Approval
conditions_______________________________________________________ Reason(s)for
denial_______________________________________________________ Date
received___________ Permit Approved____________ Permit Denied__________ Signed
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(Title) _________________________
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