City of Waterville MAP________LOT_______ Code Enforcement Office
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PERMIT NUMBER: ______________________DATE:__________________ APPLICANT:_______________________________________________________ ADDRESS:_________________________________________________________ ___________________________________________________________________ __________________________________ _________________________________ CONTRACTOR:____________________________________________________ SIGN LOCATION: __________________________________ ZONE: ________ SIGN IS TO BE: _________WIDE _________ HIGH _________ TALL _________WIDE _________ HIGH _________ TALL _________WIDE _________ HIGH _________ TALL REMARKS: ___________________________________________________________________ ___________________________________________________________________ PERMIT FEE: $_____________________ DATE: ________________________ ____________________________ APPLICANT SIGNATURE
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1 Common Street, Waterville, ME 04901-6699 (207) 680-4200 Fax (207) 680-4234
