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TS202200002 Application 2022-04-01
li ` , • a0aa.. 1Y 0 • t Application for Temporary Sign Permit APPLICATION REQUIREMENTS: ❑ Temporary Sign Permit=$27 ❑A picture or sketch of sign showing dimensions and location of sign on property must be attached with this application. ❑Certification that notice of this application has been provided to the property owner,if owner is different from applicant. Name on Sign/Business Name: l 11 Q'Yj Q A ' 1Q6� Q Location of Sign/Property: Tax Map and Parcel: C� Zoning: �`� (M- `I,, Physical Street Address(if assigned): I.3d CA Tryipi A LJf . , iV L(1/� �1`f2I Applicant/Business Owner(Who should we call/write concerning this project9) Address -1 a 11t I Cityakr6Lrik_ State V Zip 303ob Daytime Phone Ida 7g 1 — `'s'71Oc) Fax# E-mail Owner of Record —1-6)i( t"Cr�l�I.4J S Please fill out the following: Depending on the zoning distract the maximum size of the sign will be What number permit is this for your business this year? (check one)(this will be venfied by staff) ❑24 square feet 0 32 square feet Is' ❑2"a ❑3rd ❑4`e ❑5m 0 6th Dates you are requesting the sign to bein place What type of temporary sign are you proposing? ©A I(CI a through OR�I t�L\ (check one) BANNER ❑PORTABLE El A-FRAME When entering the dates above,please keep in mind the following information: Depending on the zoning district the maximum height of the sign will be • Each permit for a temporary sign shall be valid for a period (check one) not to exceed fifteen(15)consecutive days after the erection of the sign ❑12 feet if freestanding ®20 feet if on a wall 0 30 feet if on a wall • The Ordinance requires the sign to come down between permits and will be approved on-site by a Code Enforcement Officer dunng regular business hours only. The required setback from public street right of way will be • A maximum of two permits will be accepted for review for each establishment at one time. 5 feet • Please note that an establishment is not permitted more than sixty(60)days of temporary signs in a calendar year. gt ALB c -3) 111, ,,„ ' gent's Owner's/ gent s Signature Date Issued/Approved By Date OFFICE USE ONLY Fee amount$ Date Paid Check# By Who? Receipt# By. Permit# County of Albemarle Department of Community Development 401 McIntire Road Charlottesville,VA 22902 Voice:(434)296-5832 Fax:(434)972-4126 11/02/2015 Page 1 of 1 C�J"4G 1a Sl X tZ SN9IS CI IV), q6 X et :LaNNVIGI 1 IL I - M NOOS NODS t NOOS NODS NODS -- NOOt NOON NOON OMIW00 ONIW_OIO ONIWO� ONIWOO ONIWOO OMIWO] ONIWOO ON1W00 1 II NOOS ONIWO3 J - ------ ----