HomeMy WebLinkAboutSign permit-Off PremisePage 1 of 2
*Certificate of Appropriateness from the Historic
Preservation Commission is required
Linear Radial
* Separation from districts and uses specified
in Section 21-10.07(d)(6) of the Ordinance.
City of South Bend Permit Application for
Off-Premise Sign
Zoning:
Historic District:
Property Address:
Parcel ID:
Northeast Neighborhood Overlay:
Variance Approval Date:
Applicant Information
Contact Person:
Phone Number: Email:
Mailing Address:
Business Information
Business Owner:
Phone Number: Email:
Mailing Address:
Contractor Information
Contact Person: Company Name:
All Contractors must be licensed and/or registered.
For more information visit: https://southbendin.gov/department/community-investment/building/
Sign Information
Location on Property: Illumination: Separation:
(To which Street is the sign oriented?)From another freestanding sign on site (ft)
Type: Pole Monument Yard Multi-tenant
Sign Size:
Height (ft) Width (ft) Sign area (sq ft) Height from grade (ft)
Setback: Clearance:
Front (ft) Corner (ft) Side (ft) Rear (ft) From Ground (ft)
Property Information
Yes No Yes* No
Distance To Nearest Off-
P remise Advertising Sign: Separation From
Identified Uses*: Linear Radial
Information can be found on the Zoning Map at: https://southbendin.gov/zoning
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Sign Permit Checklist: ☐1. Completed Application☐2. Artwork including:☐a. Sign Dimensions☐b. Overall Height☐c. Clearance
☐3. Site Plan including:☐a. Property lines☐b. Streets/alleys abutting property☐c. Location of driveway☐d. Dimensioned setbacks to sign
☐4. Foundation Detail
I, have read and agree to the following:
1.The City of South Bend (the “City”) shall be indemnified and held harmless by the Owner from any claims,
damages, liabilities, losses, actions, suits, or judgments which may be brought, presented, sustained, or obtained
against the City or its officials because of negligence of the sign hanger, contractor, or its agents, or by reasons of
defects in the construction, or damages resulting from the collapse or failure of any sign.
2.The Owner will guarantee removal of the sign when the use which it identifies, instructs, attracts, guides, or
advertises is terminated at that location; however, this will not apply to periodic changing of the sign faces for
present or future tenants or owners. If the Owner is not the owner of the real property on which the sign will be
placed, the Owner represents that the installation of the sign is authorized by the property owner.
3.The Owner shall maintain the sign by repainting peeled surfaces and replacing inoperative components. Should
the Owner fail to maintain the sign as outlined herein within forty-five (45) days after written notice, the City shall
remove the sign after first giving the owner of the sign thirty (30) days written notice of its intent to do so.
Applicant/Owner/Leasee Name Printed Date
Completed applications should be submitted via one of the following:
Email: zoning@southbendin.gov or
Mail: to 227 W. Jefferson Blvd., Suite 1400S, South Bend, IN 46601
*Total fees are based on sign size and will be provided at approval.