HomeMy WebLinkAboutTS202200006 Application 2022-03-17 8
Albemarle County
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Temporary Sign Permit Application . 401 CommunityNorth g
��� Charlottesville,VA 22902
Phone 434 296 5832
FOR OFFICE USE ONLY SignNumber"
Fee Amount: $ 31.20 Date Paid: 31 r i By (<Oh V BY0thaiD
Application fee:$30+Technology Surcharge:$1.20
Receipt#: 12 Check#:15q OS 3 By: c Lrii,J,..
Name: __ . l KM S . 6?-1.,r CoSi A Addr...is! -I•�5a..lY� n� tcA f�,cc�,,.
Mailing Address. 4 . '` .
,�IS1 ��bl�n�:rrfl`P�.`�1� �.. . H-3y g? s! sc�
Business Name: e_ --PS 1 p
Tax Map and Parcel#
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and/or Address of the Business: I Q,$1 S t �(p i,L I L I 111 t 0
Parcel Owner: sAddirsszl
Please fill out the following:
What number permit is this for
your business this year? } se
7 r`1nd 3rd 14tn 5th 6th
(check one)
(this will be verified by staff)
What type of temporary sign are
you proposing? BANNER I PORTABLE A-FRAME
(check one)
Depending on the zoning
district the maximum height of 2r12 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 I 124 square feet R32 square feet
sign will be
Dates you are requesting the
sign to be in place. `fl S /2-� through 41/`� yv
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 POLICY
the sign Or/WC
S 11iAI 'CME
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,tI tRR3N
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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 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 i d ' tru d accurate to the best of my knowledge. I have read the conditions of approval,and I understand them, and that
I will abide y t m l I
Signature Printed " SA f. f,i
Date a-IC- 2y
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