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Marlgorough Massachusetts
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City of CityplaceMarlborough
CityaddressStreet140 Main Street – Second Floor
CityplaceMarlborough, CityStateMA  CityPostalCode01752

Telephone 508-460-3776, Fax 508-460-3736,  Web - 


__  (Always) ONE APPLICATION may be used for multiple signs at the same location.
___ (Always) A photo of the site showing any existing conditions, signs to remain, signs to be removed, proposed new signs.
___ (Always) Two sets of Sign Graphics for each sign showing dimensions, calculated area, material, illumination,  method of attaching to the building and location on the building.   Graphic shall also identify the street address for free standing signs,and per 120.H identification for the responsible party and the sign permit number.
___( For freestanding, Pylon or Monument sign)  A Sketch plot plan in sufficient detail to show the location on the lot and sight distance compliance as per zoning Chapter 200-47N.
__ (For signs that are constructed to meet structural standards of 780 CMR section 120.H): i.e.  wind, seismic, structural and stress requirements, TWO SETS OF CONSTRUCTION DRAWINGS
___A fee based on the size of the sign and calculations by the Building Department
Address/Location of Sign _________________________________________District________

Name of Owner AND / OR Business Tenant____ __________________________________
ADDRESS: ____________________________________________ Tel. No.:___________________

Width of business façade to be used for the sign area calculation.__________________
Type of Sign:  Flat Wall _____, Free Standing______, Projecting___, Awning_____, Banner_______
Location of sign on the building:  NORTH______ SOUTH______? EAST______ WEST_______
Material of Sign__________________________  
HAVE YOU READ AND UNDERSTAND THE MASS. CityPlaceTypeSTATE CityPlaceTypeBUILDING CODE (780 CMR) Section 120.H & the City of CityplaceMarlborough Sign Ordinance (Chapter 163)?  - Yes___, No___           Will sign conform     Yes ___? No___
IS A VARIANCE REQUIRED?    Yes ___ ?No____      PLANNING BOARD Case No. ___________________                                                             please provide copy of recorded variance w/application.
COST OF SIGN including Installation: $____________
A Wiring permit is needed if the sign is illuminated or if wiring alterations are contemplated (527-CMR 12.00)

SIGN ERECTOR/RESPONSIBLE PARTY ____________________________________________________  
ADDRESS __________________________________________________________________________________
Voice Phone _________________, email address_________________  Fax_______________________

I hereby declare that I have authority to request this permit, that the statements and information on the foregoing are true and accurate to the best of my knowledge and belief, signed under the pains and penalties of perjury.

__________________________________ __________________

Map ____Parcel______ SP-2009-_________ Date Issued _____/___/____   Permit Fee: $_______
(rev 4/28/09)


Marlborough City Hall, 140 Main Street, Marlborough, MA 01752 | 2015 City of Marlborough - All Rights Reserved
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