DeKalb County Planning Department
						110 E. Sycamore Street
						Sycamore, IL 60178
						(815) 895-7188
				APPLICATION
					County Sign Permit
				Temporary Crop Identification
(1)	Application is hereby made for a sign permit involving premises described below.
(2)	Date of Application:
(3)	Company Name:
	Contact Person:
	Address:
	Telephone:
(4)	Date signs to be placed:
(5)	Date signs to be removed:
(6)	Please give three (3) sites signs will be placed:
	(Brief geographical description or tax parcel numbers)
(7)	Description of signs to be placed:
	(Size, single or double face, wording)
In consideration of this application and any attached forms being made a part thereof, and the issuance of permit,
I will conform to the regulations set forth in the applicable DeKalb County Zoning Ordinance.
Signature					Date
APPROVED:		YES	NO
OFFICE USE ONLY						Permit #:
					Received by:
Sign Fee:	$20.00				Field Check:
Deposit:	$100.00					By:
Total Pd:						Zoning: