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3. Once you have submitted your information below, Staff will review and contact you with any additional questions. If your proposed sign fits within the qualifications of the Carbondale Revised Code, Staff will issue your permit and collect payment. Sign permit approval process must be completed before the sign is created or mounted. Thank you for your compliance!
5. Business Name*
6. Business Street Address*
8. Owner Name*
9. Phone Number*
10. Email*
12. Sign Contractor*
13. Phone Number*
14. Business Square Feet*
16. I would prefer to be contacted by (check one)*

    1. Telephone

    1. Email
18. APPLICATION TYPE (check one)*

    1. New Sign
    2. Temporary Sign (Valid for 30 days per calendar year)
    3. Change of sign resulting from change in business name, ownership, nature of business or product
    4. Replacement of existing sign with new material
20. SIGN TYPE (check one)*

    1. New Sign
    2. Temporary Sign
    3. Inflatable and Air Dancers
    4. Change of sign resulting from business name alteration, ownership, nature of business or product
    5. Replacement of existing sign with new materials
    6. Major Alteration
    7. Other (describe below)
22. Other
24. Free-standing sign?*

    1. Yes
    2. No
25. Illuminated sign?*

    1. Yes
    2. No
26. Illumination changes?*

    1. Yes
    2. No
28. Rotating sign?*

    1. Yes
    2. No
29. Will sign suspend over public right-of-way?*

    1. Yes
    2. No
31. Sign Height (Ft' In")*
32. Sign Length (Ft' In")*
34. Ground to Bottom of Sign (Ft' In")*
35. Ground to Top of Sign (Ft' In")*
37. Existing sign square feet, if adding on to existing sign*
38. Sign material*
39. Sign text*
40. Upload PDF of sign design if applicable

42. Once your application has been approved by the City, you will receive a secure link from noreply-pay24x7@openedgepay.com in which to pay your application fee.

44. Please choose how you prefer to receive the secure link:*

    1. Text
    2. Email
45. Cell Phone*
46. Email*
48. Your permit will be emailed to you once your payment has processed.
50. 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.
52. Electronic Signature*
54. Sign Permit Application Approved By:
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field