(for use ONLY by municipal officials)
In order to clean up the environment and enhance the appearance
of roadsides, the municipality of
____________________ has created its own Adopt-A-Highway (AAH)
Program and requests permission to erect up to four "Adopt-a-Highway"
sign assemblies at the following locations on State, State Aid,
or local roads, pursuant to 23MRSA§1117 and Rule 17-229-207:
Route # or Road/Street Name Exact Location
Each municipality is allowed up to four sign assemblies with a
total area of up to 50 sq. ft. each. Each participating organization
can place an individual sign up to 4 sq. ft. in area on the full
It is understood that all AAH signs are considered "off-premise"
signs and any erected on ANY public road are illegal and subject
to removal until MDOT approval is received through this application.
The undersigned hereby requests permission for the erection of
AAH signs along these roadways.
Municipal Official Date