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Temporary Permit Application (Sign)TEMPORARY PERMIT (SIGN) CITY OF LAVERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LAVERGNE, TN 37086 PHONE (615) 213-2624 FAX (615) 213- 8692 DATE: ___________________ PERMIT #_____________________ STREET ADDRESS___________________________________________ TYPE OF TEMPORARY STRUCTURE/USE____________________________________________ APPLICANT: NAME _________________________________PHONE ______________ EMAIL ______________________________________________________ ADD @LAVERGNETN.GOV to your spam folder “allow list” ADDRESS____________________________________________________ CITY, STATE, ZIP ____________________________________________ PURPOSE FOR TEMPORARY USE? REQUESTED TIME FRAME FOR TEMPORARY USE? _____________________________________________________________ PERMIT FEE (Temp Sign) $____________________________________ Temporary Use Permits are good for up to 30 days only! Must submit a copy of the plot plan (drawing of lot) showing where everything is on the lot and where the temporary use/structure will be located. INFORMATION AND DRAWINGS SUBMITTED WITH THIS FORM ARE TAKEN TO BE THE CORRECT STATED INFORMATION AND BY SIGNING THIS FORM YOU ARE STATING THEY ARE CORRECT.IF FOUND TO BE INCORRECT THE CITY OF LAVERGNE CAN REQUIRE THE CORRECTION OF THE PROBLEM BY SUCH MEANS AS DEEMED NECESSARY. SIGNATURE OF APPLICANT:___________________________________DATE___________________ APPROVAL:_______________________________DATE:______________________________________ DENIED: _________________________________DATE:______________________________________