DeKalb County Planning Department
	110 E. Sycamore Street						TEMPORARY SIGNS
	Sycamore, IL 60178
	(815)895-7188
Note: Permit will not be issued unless application is completed.						PERMIT #:	TS -
1)	Application is hereby made for a sign permit involving premises legally described below.
2)	Date of Application:
3)	Owner of Property:
		Address:
		Telephone:
4)	Parcel #:
5)	Date sign will be posted:
6)	Date sign will be removed:
7)	Describe sign (indicate size, height above grade, if single or double face, what it advertise)
8)	Contractor's Name:
	Address:
	Telephone:
	APPROVED:		YES	NO
	Sign Fee:	$20.00	Field Check:				Rec'd by:
	Deposit $:	$100.00		By:			Date:
	Total:	$120.00	Sign removal check:				Receipt #:
9)	Legal description of property on which sign will be placed (legal description is on deed or title policy).
	Draw site plan in the area provided below
	In consideration of this application and attached forms being made a part thereof, and the issuance of permit,
	I/we will conform to the regulations set forth in the applicable DeKalb County Ordinances.  I/we also agree
	that all work performed under said permit will be in accordance with the plans and plot diagram which accomp-
	any this application, except for changes as may be authorized by the Building Officer.
	Signature of Owner or Authorized Agent				Date