Click here to download the form for mail-in or hand-in submittal.

Please enable JavaScript in your browser to complete this form.

SIGN PERMIT APPLICATION ($20 Fee)

1 (804) 438-6230     info@irvingtonva.gov
PO Box 174, Irvington, VA 22480

Applicant Name
Property Location
You will receive a confirmation and copy of this form after submitting.
Is the Applicant also the Property Owner?
Duration of Display
Checkboxes
See size requirements ยง154.197
Placement Side of Road
Example: The Lane
Example: Route 200
Agreement Confirmation
$20.00
No online payment
You will receive a confirmation and copy of the submitted form at the email address entered above.