Skip to form

City of Fairmont

info@fairmontwv.gov

200 Jackson Street, Fairmont, WV, 26554, US

304-366-6211

Document Signers
    • 1 Applicant

    • 2 Ken Fletcher

    • 3 Steve Shine

    • 4 Dave Perkins

    • 5 Ron Miller

    • 6 Valerie Means

    • 7 Hanna Turner

SeamlessDocs

Signature HereClick to Sign
11/25/2020Click to Sign
Signature HereKen Fletcher Will Sign Here
Signature HereSteve Shine Will Sign Here
Signature HereDave Perkins Will Sign Here
Signature HereRon Miller Will Sign Here
Signature HereValerie Means Will Sign Here
Your Name HereClick to Sign
I.N.Will Update Upon Signing

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

Supporting Document Click Here to Upload
Supporting Document Click Here to Upload