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2. Property Owner*
4. Property Address:*
6. Property Owner's Mailing Address (if different from property address)
8. Property Owner's Phone Number*
10. Property Owner's Email Address
12. Contractor's Name (If using a contractor)
14. Contractor's Address
16. Contractor's Phone Number
18. Contractor's Email
20. Is the sign new or existing?*

    1. New Sign
    2. Existing
22. Brief description of work*
24. Property Zoning:*
    -- Select One --ResidentialAgriculturalGeneral CommercialHighway CommercialGeneral IndustrialIndustrial ParkProfessional OfficeMobile HomeMixed Use

    Pick one. If you don't know the property's zoning, refer to the zoning map at https://www.siouxcenter.org/DocumentCenter/View/77/Zoning-Map?bidId=

26. Who will be billed for the Permit? (pick one)*
    -- Select One --OwnerContractorThird Party (provide info below)
28. If billing a Third Party, please provide billing information
30. Third Party Address
32. Third Party Email
34. Please provide Site Plan and Sign Plan

    A plan must be provided for review before permit application will be approved.

36. Permit Regulations

    Contractor or Owner will need to provide a plan that is drawn with dimensions; a site plan showing the placement of the sign in relation to the building and property lines; and an elevation plan of the sign. 

    Required inspections include, but not limited to: 1-Footing 2-Rough-In Electrical, 3-Final. To Schedule Inspections call 722-0761. 

    The issuance of this permit is for the work specified in the application filed. Therefore any unauthorized changes or alterations from the aforesaid application or plans will render this permit null and void. All corrections or alterations noted in any addendums issued by this department shall be made a part of the approved plans and shall be performed and incorporated into the work. Iowa highway road ROW is also regulated by the DOT. Owners should verify compliance with the DOT directly. 

    The issuance of this permit shall not be construed as approval to violate any City Ordinance or City Code adopted by the City of Sioux Center. 

    The permit is valid for one year.

38. Type name below if you have read the Permit Regulations and agree to adhere to them.*
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field