Sign Permit
Ford County Planning, Zoning and Environmental Health
100 Gunsmoke
Dodge City, Kansas 67801
Phone: (620) 227-4670
Fax: (620) 227-4717
http://www.fordcounty.net

Applicants Name: The name of the person, firm, corporation or association erecting the sign.

Address:

Daytime Telephone Number:

Location of the sign: (Be as specific as possible) The location and/or address of the building, structure, or                                           lot where the sign is to be located and the position of the sign in relation to nearby                                           buildings and structures.

Sign Dimensions:

Height of the top of the sign above ground level:

Method of securing sign to ground or building:

Name of the property owner for the site where the sign is to be located:

Address of the property owner:

Daytime telephone number of the property owner:

Applicants Signature:                                                      Date:

Property owners signature:                                                  Date:

Written consent of the owner of the building, structure or land to which the sign is to be erected is REQUIRED.

On the reverse side of this form, Please provide a sketch of the sign location in relationship to the nearest state/municipal/county roads. If you have GPS capability a latitude & longitude will suffice.

Please provide a sketch or photograph of the sign to be erected.

One sign per application.

Fee: $ 50.00 per permanent sign / $0.00 per temporary sign.

If this is a temporary sign, give date of removal: ___________________

FOR OFFICE USE ONLY:    Approve---Reject: (reasons)    CAMA:    Applicable Zoning Section:    Date Inspected: