2. Instructions
   Please fill out the entire application. Required fields are marked with an asterisks (*). Incomplete application will not be processed.
4. Applicant Information
6. Name of Applicant*
7. Name of Business
9. Email Address*
10. Applicant Phone Number*
12. Project Address*
16. Property Owner Information
18. Name of Property Owner*
19. Phone Number*
21. Address*
25. Sign Contractor Information
    Contractors that do work within the City of Eudora must be licensed. Please ensure that the contractor you are working with is licensed with the City. If not, they must fill out and pay for the contractor's license application located on the website.
27. Name of Sign Contractor*
29. Contractor's Phone Number*
30. Contractor's Email*
32. Contractor Address*
34. City*
35. State*
36. Zip*
40. Sign Information
    Please review the sign regulations in the Eudora City Code and fill out all relevant details in this section.
42. Type of Sign(s)*

    (Check all that apply)

    1. Wall Sign

    1. Ground Sign

    1. Roof Sign

    1. Temporary Sign
44. Measurements of Sign(s)
46. Sign #1
48. Sign Height
49. Sign Width
50. Wall Height
51. Wall Width
53. Sign #2
55. Sign Height
56. Sign Width
57. Wall Height
58. Wall Width
60. Is the sign illuminated?*

    1. Yes
    2. No

    (If yes, an Electrical Permit is required)
61. Valuation of sign(s)*
63. What material(s) is the sign made of?*
    (i.e. vinyl, wood, metal)
65. Attach drawings and/or plans which illustrate all signs and the location on the building/property
69. Notices & Signature
71. Notice
    This permit becomes null and void if the work or construction authorized is not commenced within 180 day from the date of issuance; or if the work or construction is suspended or abandoned for a period of 180 days at any time after work is commenced.
73. Acknowledgement*

    I hereby certify that I have read and understand this application and affirm that the information contained within is true and correct to the best of my knowledge. All provisions of laws and ordinances governing this type of work will be complied with and followed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of contstruction.

    1. I have read, understand, and agree to this statement
75. Electronic Signature Agreement*

    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.

    1. I Agree
77. Electronic Signature*
    Full Name - First, Middle Initial, Last
78. Date*
    Date
Leave This Blank:


80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit Submit and Print

* indicates a required field