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ARB201900112 Application 2019-10-04
Albemarle Co un l-} Planning Application Community Development Deparbr&x 401 R `,re Road Charlottesville; VA22902-4596 c : (4 4) 296 5832 Fax : (434) 972-4126 TMP ©61M0-Q4-12-01Dt)9- owner(s): DUA LEC Application # AR+ 20/900/1 J PROPERTY INFORMATION Legal Description BER04AR CROSSIRG LOT ii 9 8LK D Magisterial Qist.RiO 111�71 Land Use Primary Current AFD Not inA F District 11 Current mooning Primary i _ APPLICATION INF{)RP4ATION�� Street Address 693 BERKh1AR GIR CHARLOTTESi�ILLE Application Type 'Architectural Review Board Project The Cleaning Company - Sign ..., Received Date 09f 3QJ29 Received Date Final C Closing File Date Revision Number Comments Legal.A. Signature of Contractor or Authorized Agent Date Entered By Jennifer PritW" �DE�1r2fi13_ tal Fees tal Paid FEEd x Application and Checklist for Sign Permit x Part A. Applicant and andParcel arcel Information Project Name: ABdr:he- tgx 6q R7fd Gpar, Ci/i e- Timapandparcel(s): 06IA467- 0- 11' 0Ip0q Zak.. (9A�' /fit. "�} Contact Person (Who should we call/write concerning this protect?): aw qww P� �-4Ma"l maje S�y�IS Addressli07 WA*At sfl et Suit- B Chj State_ VA Zip 2_ 2-g05 DaytimePhone(J�b '71-111116 Fax#{- ) E-mail M�llAi(/M�deS�9nit,Lo Owner of/�Record: Q _ A Q ! ' j � Address 6 3 1gWAk ct fC1z City iit�i Pff�U►i`k State V,,f Zip ywl Daytime Phone C-_J Fax # LJ E-mail Contractor NameBusiness Name: X0.4) PALPU ! Am ek Cap,/ / 4A e Address y07 EJW f st&er s Al, P- B City go4tetl- esw& e state Of zip 224as Daytime Phone (!ft. q 7% 7YY6_ Fax # c_i E-mail iO 40A,"4law e SJ�rijiCevy Part B: Determining application nquirementg and fees 1. Sign Permit - Please Indicate which sign type you are applying for: ❑ Freestanding or Monument Sign: $9164 ❑ If a footing is required, an additional fee is required: $32 64 Wall Sign (Includingproperty, awning, fuel pump canopy signs): $91.64 ❑ Sign Refacing: $59 00 2. Electrical Permit - Will the sign he Illuminated? ❑ Yes (Illuminated signs require an electrical permit and an electrical sehemade.) $49.96 X No $ 0.00 3. ARB Review - W111 the perawnent sign(s) he constructed in an Entrance Corridor? (See the Entrance Corridor map in the Sign Permit.4pplication packet for a list ofEnounce Corridors) ❑ Yes (7his sign will be constructed in an Entrance Corridor and it does not meet the conditions ofa $I29.00 Comprehensive Sign Review. See.4RB requirements next pages.) ❑ Yes (7his sign will be constructed in an Enow a Corridor and it does meet the conditions ofa Waive Fee Comprehensive Sign Review. SeeARB requirements nextpages) No (7his sign will not be constructed in an Entrance Corridor) $ O.00 FEE TOTAL (Please add all the amounts checked in sections I - 3): $ FOR OFFICE US ONLY BP# ARB#_jMICJ - Q n - / Fee Amount $ Date Paid BY who Pt # # `Vhevk # By County of Albemarle Departnteut of G6mmonity Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 I UU2015 Page l of 4 A. Work Valuation Pilou Part D: Applicant Agreement Applicant must read and sign • Each application package must contain 4 folded copies of all plans and documents being submitted. Only I set of material/color samples is required.. All submittal items become the property of Albemarle County. Applicants are encouraged to maintain duplicate copies in their own files. • The application package is not complete without this checklist, completed, signed, and Included with the required submittal materials indicated on the checklist. l hereby certify that the information provided on this application and accompanying information is accurate, true and corr ect to to the best of my knowledge and belief and contains all information required by these checklists ,44 rdL6-1- Oql2flIq Signature of person completing checklist Date gR.l` d 9wo-/vd'veg- 3ti-97j.- -jYjW Printed Name / Title Daytime phone number of Signatory County of Albemarle Department of Community Development 401 McIntire Road, North Wing, Charlottesville, VA 22902-4596 (434) 296-5832 Tel, (434) 972-4126 Fax www.albemarle.or 11/i/2015 Page 4 of Sign Diagrams Sign Dimensions Sign Height Distance to property line or edge of right-of-way Sign Height = Sign Dimensions Pole -Mounted Sign — Diagram 1 (Generally not acceptable in the ECs) Sign Height Sign Dimensions 14 Building Frontage Building Frontage = 10 I Sign Height = IV -7 „- Sign Dimensions = 6q, 9 Ji x Z 6 fr Sign Dimensions Sign Height Distance to property line or edge of right-of-way Sign Height = Sign Dimensions Monument Sign — Diagram 2 Well Sign — Diagram 3 If multiple wall signs are proposed, list dimensions here: Sign 2 Height = . Sign 4 Height = Sign 2 Dimensions = Sign 4 Dimensions = Sign 3 Height = Sign 5 Height = Sign 3 Dimensions = Sign 5 Dimensions = Sign Diagrams revised 7/2009 — i CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations orAppeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, T ne 61ed"j11V9 Ce, �j [County application name and number] was provided to t/ 0 Ate_ UG the owner of record of Tax Map [name(s) of the record owners of the parcel) and Parcel Number O&lA.0 00_ 12 010 0 q by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date Mailing a copy of the application to PeAl tie [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on 1 Lilat1fi$ to the following address: Date 653 22 qj [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant Print Applicant Name 0 Date