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2. 
4. Business Name of Sign Location *
6. Address of Sign Location*
8. City*
9. State
10. Zip Code*
12. Applicant Name*
14. Applicant Phone Number*
16. Applicant Email Address*
20. Type of Sign Proposed

    1. Ground
    2. Temporary
    3. Wall

    1. Political
    2. Directional

    1. Other
    2. Refacing

    Check all that apply

24. Proposed Sign

    *Plans must be submitted for all signs either by uploading below or emailing them to dmillard@hhoh.org. The plans must be drawn to scale and show measurements and dimensions of the proposed sign.  Each sign requires a separate permit.

26. Square Footage of Sign per face*
28. Number of Sign Faces *
    -- Select One --Single FacedDouble Faced
30. Estimated Cost*
32. Sign Material *
34. If temporary signs, list display dates *
36. Size: Length -- Width -- Height*
38. Setbacks: From Right of Way *
40. Setbacks : From Storefront or Building *
42. Total Fee: *

    Permanent Sign - $30.00 plus $1.00 per square foot per side.   Temporary Sign - $25.00 for 30 days, 3 times per year.

44. Copy of Sign Plans
46. Applications must be filled out legibly, completely, and accurately. All fees are due upon submittal of application. Applications fees are non-refundable.
48. Application is hereby made for zoning certificate, and the statements herein are made a part thereof. It is understood and agreed by the applicant that any error, misstatement or misrepresentation of fact or expression of fact, either with or without intention on the part of the applicant, such as might, or would, operate to cause the issuance of a permit in accordance with this application, shall constitute sufficient ground for the revocation such permit at any time. The applicant is responsible for Third party and/or in-house professional costs incurred by the City for legal and engineering services. The fee schedule for legal and engineering services is available upon request. (Ordinance 87-O-231, Effective 4/2/87) (Ordinance 87-0-272, Effective 11/21/87)
50. Online Payment

    After you submit this form, you will be automatically redirected to the online payments page.

52. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
54. Electronic Signature
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit Submit and Print

* indicates a required field