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2. Date of Application
   Date of Application
3. Date Received by City of Litchfield
   Date Received by City of Litchfield
5. Name of Applicant (Contact Person)
7. Street Address
9. City
10. State
11. Zip Code
13. Phone Number
15. Name of Organization
17. Street Address of Organization
19. City
20. State
21. Zip Code
23. Phone Number of Organization
25. Type of Sign

    1. Banner
    2. Poster
    3. Other
27. Size of Sign(s)

    In residential district, signs shall not exceed 16 square feet; elsewhere signs shall not exceed 32 square feet).

29. Location of Sign(s)
31. Street Address
33. City
34. State
35. Zip Code
37. Is this Public or Private Property?

    1. Public
    2. Private
41. Street Address
43. City
44. Street
45. Zip Code
47. Is this Public or Private Property?

    1. Public
    2. Private
51. Street Address
53. City
54. State
55. Zip Code
57. Is this Public or Private Property?

    1. Public
    2. Private
59. Date or Dates of Event(s)
60. Scheduled Time of Event(s)
    Scheduled Time of Event(s) Start Time

    —

    Scheduled Time of Event(s) End Time
61. Date Sign(s) Will Be Installed
    Date Sign(s) Will Be Installed

    Cannot exceed two weeks (14 days) prior to initial event date.

63. Please provide a photo of the sign(s) to be displayed. There are no fees associated with this permit.
67. Approved

    1. Yes
    2. No
68. Date
    Date
70. Approved By:
72. Reason for Denial
Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field