billboard installation application
OFFICE USE
TOWN OF LA RONGE z
BILLBOARD INSTALLATION APPLICATION
Date Received: ____________________________ Location: Parcel 14, Plan # AQ777 Other :____________________________ Fees Paid: Yes No Receipt #: ________________________ Approved: Yes No Approved by: ___________________________________ Date Approved: _______________________________
BILLBOARD STRUCTURE Application: New Billboard NAME OF BILLBOARD OWNER
FEE: $200.00 Alter Billboard
Renew Billboard Lease
Change Ownership
Name: ________________________________________ Email: ___________________________________ Phone: ________________________________________ Cell: ___________________________________ Mailing Address: ________________________________________________________________________________ Documents Required: Form B – Development Permit Application Billboard Regulations Agreement BILLBOARD INFORMATION Billboard Structure Material: _______________________________________________________________________ Advertising Purpose(s): ___________________________________________________________________________ Dimensions of Billboard: ______________________________ Date to be Installed: ____________________________________ Billboard Position #: ____________ Bylaw# 572/16 - 4.33.7 - Town Sign Corridor Billboard Regulations a) b) c) d) e) f) g) h) i) j) k) l)
Maximum sign facial area per side is 2.5 m (8.2 ft) tall and 3.7 m (12.1 ft) wide; Maximum height above grade is 3.7 m (12.1 ft); Signs shall not be within the highways right-of-way; The Town Sign Corridor will be located only within Parcel 14 Plan AQ777; Signs must be spaced at minimum 15m (49.2 ft) apart, and erected in a straight line parallel with Highway 2 and 102; Sign spots are awarded subject to availability on a first come first serve basis; Signs must be metal or backed with a minimum of 3/8” plywood; if only one face of the sign is to contain advertising, the other side of the sign must be finished with sheeting or paint; Each business is only permitted one sign; Sign permits are non-transferrable; The Town reserves the right of refusal as to what businesses are allowed to have signs in the Town Sign Corridor. Political, religious or offensive content will not be permitted; Signs shall not advertise, promote or make reference to alcoholic beverages; Upon approval of any Billboard, it is be the responsibility of the applicant to produce their own billboard structure;
I agree that the Municipality may enter the property to inspect the site before, during and after the development proposed for the purposes of administration of the Zoning Bylaw and any permit issued. I, _______________________________________ solemnly declare that the above statements contained within this application are true, and I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath, and by virtue of the Canada Evidence Act.
Signature: _________________________________________
Date:___________________________
*ATTACH ANY REQUESTED DRAWINGS OR LETTERS WITH APPLICATION NUMBER INDICATED TO THE BACK OF THIS FORM
TOWN OF LA RONGE z
BILLBOARD INSTALLATION APPLICATION
Date Received: ____________________________ Location: Parcel 14, Plan # AQ777 Other :____________________________ Fees Paid: Yes No Receipt #: ________________________ Approved: Yes No Approved by: ___________________________________ Date Approved: _______________________________
BILLBOARD STRUCTURE Application: New Billboard NAME OF BILLBOARD OWNER
FEE: $200.00 Alter Billboard
Renew Billboard Lease
Change Ownership
Name: ________________________________________ Email: ___________________________________ Phone: ________________________________________ Cell: ___________________________________ Mailing Address: ________________________________________________________________________________ Documents Required: Form B – Development Permit Application Billboard Regulations Agreement BILLBOARD INFORMATION Billboard Structure Material: _______________________________________________________________________ Advertising Purpose(s): ___________________________________________________________________________ Dimensions of Billboard: ______________________________ Date to be Installed: ____________________________________ Billboard Position #: ____________ Bylaw# 572/16 - 4.33.7 - Town Sign Corridor Billboard Regulations a) b) c) d) e) f) g) h) i) j) k) l)
Maximum sign facial area per side is 2.5 m (8.2 ft) tall and 3.7 m (12.1 ft) wide; Maximum height above grade is 3.7 m (12.1 ft); Signs shall not be within the highways right-of-way; The Town Sign Corridor will be located only within Parcel 14 Plan AQ777; Signs must be spaced at minimum 15m (49.2 ft) apart, and erected in a straight line parallel with Highway 2 and 102; Sign spots are awarded subject to availability on a first come first serve basis; Signs must be metal or backed with a minimum of 3/8” plywood; if only one face of the sign is to contain advertising, the other side of the sign must be finished with sheeting or paint; Each business is only permitted one sign; Sign permits are non-transferrable; The Town reserves the right of refusal as to what businesses are allowed to have signs in the Town Sign Corridor. Political, religious or offensive content will not be permitted; Signs shall not advertise, promote or make reference to alcoholic beverages; Upon approval of any Billboard, it is be the responsibility of the applicant to produce their own billboard structure;
I agree that the Municipality may enter the property to inspect the site before, during and after the development proposed for the purposes of administration of the Zoning Bylaw and any permit issued. I, _______________________________________ solemnly declare that the above statements contained within this application are true, and I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath, and by virtue of the Canada Evidence Act.
Signature: _________________________________________
Date:___________________________
*ATTACH ANY REQUESTED DRAWINGS OR LETTERS WITH APPLICATION NUMBER INDICATED TO THE BACK OF THIS FORM
