Skip to form

City of Fairmont

info@fairmontwv.gov

200 Jackson Street, Fairmont, WV, 26554, US

304-366-6211

Document Signers
    • 1 Applicant

    • 2 Shae Strait

    • 3 Steve Shine

    • 4 Ed Simmons

    • 5 Ron Miller

    • 6 Valerie Means

    • 7 Alex Petry

SeamlessDocs

Signature HereClick to Sign
01/19/2021Click to Sign
Signature HereShae Strait Will Sign Here
Signature HereSteve Shine Will Sign Here
Signature HereEd Simmons 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