| APPLICANT:
______________________________ |
PHONE:
__________________ |
ADDRESS:
_______________________________________________________________
Name and address of person to whom correspondence should be directed:
__________________________________________________________________________ |
| Phone
number of contact person: ______________________________________________ |
| OWNER:
______________________________ |
PHONE:
__________________ |
| ADDRESS:
_______________________________________________________________ |
| STREET
LOCATION OF PROPERTY: _________________________________________ |
| BLOCK(S)
__________________ |
LOTS(S)
__________________ |
| Corporation Name: ___________________________________________________ |
Is
the proposed banner for a grand opening? ____ If yes, include
a copy of your certificate of occupancy.
State the purpose of the proposed banner ________________________________________
__________________________________________________________________________
__________________________________________________________________________
|
| Size
of Banner(s): |
_____________________
_____________________
_____________________ |
| Dates
Banner(s) will be in place: |
_____________________ |
Has
the premises been the subject of a prior Zoning or Planning hearing?
_____________________
If yes, give Docket or reference number: _____________________
I hereby certify that all of the above information is true to the best
of my knowledge, |
