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2. Address of Property*
4. Address2
6. City*
7. State*
8. Zip*
10. Development Name (if applicable)
14. Business/Institution Name*
18. Applicant First Name*
19. Applicant Last Name*
20. Applicant Business/Institution*
22. Applicant Address*
24. Address2
26. City*
27. State*
28. Zip*
30. Email*
31. Daytime Phone*
35. Instructions
    Please provide the installation and removal dates, along with an aerial photograph, plot plan, and/or exhibit that clearly and accurately indicates the location of the banner, whether placed upon the building or other freestanding area on the property. In addition, please provide a rendering of the banner, with its height and length, so as the allowable square footage of thirty (30) square feet can be determined by the Department. You may submit up to three separate banner installations per form. Please be advised, a total of thirty (30) days may be utilized per year. Each installation is limited to five (5) days at a time and must be separated by a seven (7) day period between the next installation.
37. Banner Installation #1
39. Installation Date*
    Installation Date

    Installation Date
40. Removal Date*
    Removal Date

    Removal Date
42. Banner Depiction*
43. Site Plan*
44. Height of Sign*
45. Width of Sign*
47. Additional Documents (if necessary)
51. Banner Installation #2
53. Installation Date
    Installation Date

    Installation Date
54. Removal Date
    Removal Date

    Removal Date
56. Banner Depiction
57. Site Plan
58. Height of Sign
59. Width of Sign
61. Additional Documents (if necessary)
65. Banner Installation #3
67. Installation Date
    Installation Date

    Installation Date
68. Removal Date
    Removal Date

    Removal Date
70. Banner Depiction
71. Site Plan
72. Height of Sign
73. Width of Sign
75. Additional Documents (if necessary)
Leave This Blank:


77. 1. Receive an email copy of this form.
78. Email address

    This field is not part of the form submission.

79. Submit

* indicates a required field