Portable Sign Permit Application

Sign Company Information

Sign Company ID Number

Sign Company Name

Contact Name

Email Address

Sign Company Address

Postal Code

Sign Company Phone Number

Sign Details

Date sign is to be displayed

Physical Location of the Sign

Message to be Displayed

Business Information

Business Name

Business Address

Postal Code

Business Phone Number

Has the business had a Portable Sign in Place in the last 90 days?

Yes

Is there a Portable Sign for another business in place on the property?

Yes

Collection of Personal Information

Personal information collected on this form is collected pursuant to the Municipal Act, 2001, s. 11(1), and will only be used for the purpose for which it is collected, and will not be distributed or used by the Town of Ajax for any other purpose. Questions about this collection may be directed to the Town of Ajax Records and Freedom of Information Coordinator at 65 Harwood Avenue South, Ajax, Ontario, L1S 2H9 or 905-683-4550.

Learn more about the Town of Ajax's Privacy Policy.

Accessibility

If you require this form in an alternative format, please contact the Town of Ajax Accessibility Coordinator, at 905-683-4550, or by e-mail at contactus@ajax.ca.

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