Create a Website Account - Manage notification subscriptions, save form progress and more.
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.
Please upload a PDF or PNG file - do not upload a JPEG
For each on premises sign, please list the size (LxW) in feet, whether illuminated or not, and how many faces it has.
Please also list how many billboards you have, and the size of each.
Please fill out the attached confidential emergency numbers form and upload it here.
This field is not part of the form submission.
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