Community Development Zoning and Natural Resources Division

900 Church Street Lynchburg, Va 24504

434-455-3900

Sign Permit Application

Today's Date

FEES

Less than fifty (50) square feet - $50
Greater than fifty (50) square feet - $100
Temporary Sign - $25

Applicant

Applicant Phone

Applicant Email

Address of Location of Proposed Sign

Address or Location

Permit Request

Type of Sign

New

Replacement

Reface Only

Temporary

Please indicate all items that apply in the following sections:

Building Mounted Sign

Perpendicular to the wall

Flat on wall/window

Awning

Internally illuminated

Freestanding/Pole Sign

Monument style

Pole sign

Digital

Internally illuminated

Multi-tenant

Flag

Banner/Flag (temporary only)

Indicate the square footage of each sign face area

Indicate the height of each sign from grade (in feet)

Total Number of Existing Signs

Indicate the square footage of each existing sign

A sketch plan must be provided which shows a drawing of the sign with applicable dimensions and its location on the property or on the building. Please upload your file below.

Upload File(s)

Click Here to Upload

Applicant Signature

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.