HomeMy WebLinkAboutTS202200005 Application 2022-03-17 '7
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Temporary Sign Permit Application4. `"gar Albemarle Bounty
Community Development
lee s 401 McIntire Rd,North Wing
,^� Charlottesville VVA 22902
Phone 434 296 5832
t
FOR OFFICE USE ONLY Sign Number: I, ,....5
Fee Amount: $ 31.20 Date Paid: 3 I (i 122 By: /bhv )qos
Application fee: $30+Technology Surcharge:$1.20
Receipt#: 1 i L411 Check#:I6405 2. By:
Name . eipp4S.`�RsZ ..l coo-^tLD !, 1 ; 1)sa
m*,nn�ilr bids,c-sr,-,
Mailing Ad
dress: _./.s/ R.ie_i..1> 0R.a 1. ub _,0#:, ,,, , z o y3(/41 s/SCo
Business Name:
Tax Map and Parcel# � �°:
and/or Address of the Business , a
� t' �•n
Parcel Owner: Cs v�K'�T , S L1 L. @`r SI 9Pg-k1r4.0 6.-51-s 240
Please fill out the following:
What number permit is this for
your business this year? 1st2nd 3rd 4th I 15th I 16th
(check one)
(this will be verified by staff)
What type of temporary sign are
you proposing? Ir-BANNER PORTABLE A-FRAME
(check one)
Depending on the zoning
district the maximum height of 2- 12 feet H 20 feet i 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 I 1 24 square feet [71'32 square feet
sign will be
Dates you are requesting the /
sign to be in place. 1(15f 2,_Z through `fL/
/ gi )-2.--
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(601 days of temporary signs 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 vided is tie Wand accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that
I will abi eby em. \)��
Signature Printed F Y� i"'
Date 3- l c- -Z 1
3r. ".., 2tjt'1 Albemarle County
Temporary Sign Permit Application _._ 401Mdnt'eDri,orthWing
w "OIr Charlottesville VA 22902
Phone 434 296 5832
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,
Ked4 bps f- CosAp-12›
C.i0<`tri"not 'ti lit'.?r: o ,d, by > ;fit o i Stilt°.
to Pas rrt)1 E-- vrL,,rs LLC. the owner
Name of ianoowner on record
of Tax Map and Parcel Number 33 IN by either delivering a
IMP number of Or0C3+3t1,
copy of the application to them in person or by sending them a copy of the application by
V
mail. (Please check one of the following below)
Hand delivering a copy of the application to the owner identified above on
Date .0— 21
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 rmining this information if needed)
Signature of Applicant ��hh
Applicant Name Printed �S� 1 AWN)
Date 3 —20 - 2-
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