HomeMy WebLinkAboutTS202200004 Application 2022-03-17 Albemarle County
Z Temporary Sign Permit Application t st,F Community Development
401 McIntire Rd,North Wing
;,:;,, Charlottesville,VA 22902
" Phone 434.296.5832
FOR OFF,0- ` • E ONLY Sign Numberi522, --( 4-1
Fee Amou t: $ 31.20 Date Paid: 3( n ` " KO hr Broltuayo
Application fee: '. ! - nology Surcharge: $1.20
Receipt#:(jq 1(4I � ,1Check#: I $9C{q Sy: nje.L c �,5rp fy}�S
[Name: `��q.4eiDe_aS I.4 E- it Add essrt " i,So-.r o-f''n -
Mailing Address: Phone#°
„Zt S t P.,►�lnr� � �c��� - .'' it 3 y (c?s ),S 06
Business Name: aiker_ og.4S r(Loyc.,J (�STP µ-D
Tax Map and Parcel# I �lg_
and/or Address of the Business: J.151 ,p.4 C4I rnoNoQD "Ir fill �,,ur, no�n
Parcel Owner: Pas r,41.P4 i S LLC ,'ees Address:ess: 2_is gigAnNopi9 kp. �5 2c0
Please fill out the following:
What number permit is this for
your business this year? st 2nd 3rd 4th
�� 151h L sth
(check one)
(this will be verified by staff)
What type of temporary sign are
you proposing? 2- BANNER PORTABLE I I A-FRAME
(check one)
Depending on the zoning
district the maximum height of 12 feet 20 feet 30 feet
the sign will be if freestanding if on a wall if on a wall
(check one)
The required setback from 5 feet
public street right-of-way will be
Depending on the zoning
district the maximum size of the 24 square feet yl 32 square feet
sign will be
Dates you are requesting the L1 `ZL
sign to be in place. 25 through ✓I f11 2-Z
When entering the dates above, please keep in mind the following information:
Each permit for a temporary sign shall be valid for a period not to exceed fifteen (15)consecutive days after the erection of
the sign.
The Ordinance requires the sign to come down between permits and will be approved on-site by a Code Compliance
Officer during regular business hours only.
A maximum of two permits will be accepted for review for each establishment at one time.
Please note that an establishment is not permitted more than sixty(60)days of temporary skins in a calendar year.
Review of this application cannot begin until the application is complete and all applicable attachments and fees are submitted.
This permit will only be valid on the parcel for which it is approved.
I hereby certify that I own or have the owner's permission to use the space indicated on this application I also certify that the
information provided is t e and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that
I will ab.- ark th
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Signatu - l 'Printed " 4'A fl \MA est ry
Date L` ZZ
1
Albemarle County
Temporary Sign Permit Application Commune y Development
1x( ,, 401 McIntire Rd,North Wing
vie Charlottesville,VA 22902
, Phone 434 2965832
Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either
informed or are going to inform the owner of your application.
CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN
PROVIDED TO THE LANDOWNER
I certify that I will provide (or have provided) notice of this clearance application,
KWR.bizas_ Ce-4:2- Li
.,(<i3. .E t..iv.. ,,.3....F by t,.x.i: t 3
to has 1-co ��T�12__NiS 1 LLC, the owner
Name of lanuowner on r. cora
of Tax Map and Parcel Number by either delivering a
copy of the application to them in person or by sending them a copy of the application by
mail. (Please check one of the following below)
Hand delivering a copy of the application to the owner identified above on
Date 2- `) Z?,-
Mailing a copy of the application to the owner identified above on
Date to the following address:
(Written notice to the owner and last known address on our record books will satisfy this
requirement. Please see staff for help determining this information if needed)
Signature of Applicant Ks ,
Applicant Name Printed Li SA. 1 (kaki./ �o✓ KD 5 Jrlc .
Date 2- g- ZL
2
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