Facade Grant Program Application

Requirements Checklist

1. A completed IRS Form W9 should be included with this application. If needed, a blank W9 can be found at IRS.gov.
2. Applying businesses must have a current City of Hartsville Business License.

Applicant Information:

Applicant Name *

Address of proposed installation *

Address of proposed installation

City

State/Province

Zip/Postal

Are you the building owner? *

Yes

No

Are you the business owner? *

Yes

No

Contact Email Address *

Contact Phone *

City Business License *

Yes

Check "Yes" to confirm that you have a current City of Hartsville Business License.

Note:

In addition, the Architectural Review Board (ARB) must approve any signage in the downtown business district. Sign and Awning Permit Applications may be obtained from the Planning Department in the Navigator at 100 E Carolina Ave and must be submitted at least one week prior to the monthly ARB meeting. Meetings to review signage applications are the third Wednesday of each month at 5:15 PM in the Council Chambers at City Hall.

Please select one or more of the following options: *

I am aware of these requirements.

I have already submitted an application.

I would like someone to contact me with more information about the ARB review process.

Not applicable

Completed W9 Form *

Drop a file here or click to upload Choose File

Maximum upload size: 134.22MB

Please attach your completed Form W9 here. Download blank W9.

Sign Company Information:

Sign Company Name

Phone

Address

Paint Contact Information:

Paint Contact Name

Address

Phone

Paint Brand

Paint Color

Sign/Paint Costs

Materials Cost *

Design Cost *

Construction/Installation Cost *

Estimated Total Cost of Sign/Painting *

After submitting this form, please mail the following items to Main Street Hartsville:

Written permission from the building owner (if applicable)
Sign design, drawn to scale, including dimensions and colors (if applicable)
Paint sample (if applicable)

Main Street Hartsville
PO Drawer 2497
Hartsville SC 29551

Acknowledgement and Certification

Acknowledgement *

Yes

Check this box to certify that you have read, understood, and agreed to the above terms.

Applicant Signature *

Type your full, legal name here.

Date *