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You can render an image from the signature JSON text on the server. The following shows how to do this in .NET 4.5 C#, thanks to Daniel Knight. You would call this code as follows and it returns a base64 encoded byte array as a string:

GetBase64Png(jsonEncoding, width, height);

using System;
using System.Collections.Generic;
using System.Web.Script.Serialization;
using System.Drawing;
using System.Drawing.Imaging;
using System.IO;
using System.Web.Http;

public class GraphicsController : ApiController
{
	[HttpGet]
	[ActionName("GetBase64Png")]
	public string GetBase64Png([FromUri] string linesGraphicJSON, [FromUri] int width, [FromUri] int height)
	{
		return Draw2DLineGraphic(new JavaScriptSerializer().Deserialize<Signature>(linesGraphicJSON), width, height);
	}

	private string Draw2DLineGraphic(I2DLineGraphic lineGraphic, int width, int height)
	{
		//The png's bytes
		byte[] png = null;

		//Create the Bitmap set Width and height
		using (Bitmap b = new Bitmap(width, height))
		{
			using (Graphics g = Graphics.FromImage(b))
			{
				//Make sure the image is drawn Smoothly (this makes the pen lines look smoother)
				g.SmoothingMode = System.Drawing.Drawing2D.SmoothingMode.AntiAlias;

				//Set the background to white
				g.Clear(Color.White);

				//Create a pen to draw the signature with
				Pen pen = new Pen(Color.Black, 2);

				//Smooth out the pen, making it rounded
				pen.DashCap = System.Drawing.Drawing2D.DashCap.Round;

				//Last point a line finished at
				Point LastPoint = new Point();
				bool hasLastPoint = false;

				//Draw the signature on the bitmap
				foreach (List<List<double>> line in lineGraphic.lines)
				{
					foreach (List<double> point in line)
					{
						var x = (int)Math.Round(point[0]);
						var y = (int)Math.Round(point[1]);

						if (hasLastPoint)
						{
							g.DrawLine(pen, LastPoint, new Point(x, y));
						}

						LastPoint.X = x;
						LastPoint.Y = y;
						hasLastPoint = true;
					}
					hasLastPoint = false;
				}
			}

			//Convert the image to a png in memory
			using (MemoryStream stream = new MemoryStream())
			{
				b.Save(stream, ImageFormat.Png);
				png = stream.ToArray();
			}
		}
		return Convert.ToBase64String(png);
	}

	public class Signature : I2DLineGraphic
	{
		public List<List<List<double>>> lines { get; set; }
	}

	interface I2DLineGraphic
	{
		List<List<List<double>>> lines { get; set; }
	}
}

A full list of all possible settings is shown below. Note that not all would apply in all cases. For more detail see the documentation reference page.

$(selector).signature({
	background: '#ffffff', // Colour of the background
	color: '#000000', // Colour of the signature
	thickness: 2, // Thickness of the lines
	guideline: false, // Add a guide line or not?
	guidelineColor: '#a0a0a0', // Guide line colour
	guidelineOffset: 25, // Guide line offset from the bottom
	guidelineIndent: 10, // Guide line indent from the edges
	// Error message when no canvas
	notAvailable: 'Your browser doesn\'t support signing',
	scale: 1, // A scaling factor for rendering the signature (only applies to redraws).
	syncField: null, // Selector for synchronised text field
	syncFormat: 'JSON', // The output respresentation: 'JSON' (default), 'SVG', 'PNG', 'JPEG'
	svgStyles: false, // True to use style attribute in SVG
	change: null // Callback when signature changed
});

$.kbw.signature.options // Access settings for all instances

$(selector).signature('option', settings) // Change the instance settings
$(selector).signature('option', name, value) // Change an instance setting

$(selector).signature('option') // Retrieve the instance settings
$(selector).signature('option', name) // Retrieve an instance setting

$(selector).signature('enable') // Enable the signature functionality
$(selector).signature('disable') // Disable the signature functionality

$(selector).signature('destroy') // Remove the signature functionality

$(selector).signature('clear') // Erase any signature
$(selector).signature('isEmpty') // Determine if there is no signature
$(selector).signature('toDataURL') // Convert the signature to an image in a data: URL
$(selector).signature('toJSON') // Convert the signature to JSON
$(selector).signature('toSVG') // Convert the signature to SVG
$(selector).signature('draw', sig) // Re-draw the signature from JSON, SVG, or a data: URL