HOUSE NUMBER APPLICATION DETAIL/CHECK SHEET
(Complete each item)
1. Current location of house numbers:
2. Style of current house numbers:
Example: White diagonal board with white numbers
Brass numbers on banister
3. Select type of house numbers: Please provide a brochure or picture of the proposed house numbers.
A. Height of house number: ________________
House numbers should be no less then 3 ½ inches in height and not exceed 5 inches in height.
B. Material of House Number: Select one
_______Black Metal

_______Shiny Brass

_______Decorative Brass Number Plaque

_______Tile House Number Plaque
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Shiny tile house numbers and metal house numbers can be difficult to see at night because they reflect light. Square adhesive house numbers are prohibited. Self illuminated house numbers are also prohibited.
4. Location of new house numbers: House numbers should be placed in a location easily visible from the accessible neighborhood street and sidewalk.
Same as current
New location __________________________________________________________
Reason for changing location: __________________________________________________
I certify that the house numbers applied for will be installed in accordance with the above specifications and the house number architectural guidelines that have been provided to me.
_____________________________________
Owner's Signature
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