HomeMy WebLinkAboutTS202200014 Application 2022-04-15 ?QV l C zozZ-`46
' sy� Albemarle County
Temporary Sign Permit Application '' Community Development
orth
401 McIntire ev North Win
' a_ f Charlottesville,VA 22902
1 inGno P/ Phone 434.296.5832
FOR OFFICE USE ONLY Sign Numbefl aO -OOU14
Fee Amount: $ 31.20 Date Paid: (4 1 ((,( (a a By:S )0jrZ3 'F'
Application fee:$30+Technology Surcharge: $1.20
Receipt#: 19 1 a Check#: -1 3 O ( By: ¶ uL-/—
Name: DAAS 5tMOtb E-Mail Address: 5 ,,t ZQAoL.CoM
7o,o,-
Mailing Address: S/oyf3 3�akwr 6�IKs,l', At-t�C, ✓�4. Phone#: (WO /27-27/8 _
Business Name: Sketscm4C of-c iw e, (L L
Tax Map and Parcel# Zoning: PGRNaD 1)&VeLoQMPr'7
and/or Address of the Business: 072 00-00- 0 0 -O 17 D 4, Staff will fill out if unknown 5 rso ppov6 CeAR-6(
Parcel Owner: po,, .os,,< 14140 T v5 - Owner's Address: Z2N ly r/sr ,U.W. CWA 1 oa04'
Please fill out the following:
What number permit is this for
your business this year? .st I 12nd I 13`d I 1 4th 5th U 6th
(check one)
(this will be verified by staff)
What type of temporary sign are
you proposing? Li BANNER ,_ PORTABLE [1 A-FRAME
(check one)
Depending on the zoning
district the maximum height of - 12 feet I--] 20 feet —1 30 feet
the sign will be if freestanding if on a wall if on a wall
(check one)
The required setback from
public street right-of-way will be 5 feet
Depending on the zoning
district the maximum size of the [ 24 square feet I V-32 square feet
sign will be
Dates you are requesting the
sign to be in place. 4P/2 I through 7/0s
When entering the dates above, please keep in mind the following information: PLEASE SEE THE
Each permit for a temporary sign shall be valid for a period not to exceed fifteen (15)consecutive days after the erection of ATTACHED POLICY
the sign. REGARDING
ADDITIONAL TIME
The Ordinance requires the sign to come down between permits and will be approved on-site by a Code Compliance ALLOWED DURING
Officer during regular business hours only.
THE COVID-19
A maximum of two permits will be accepted for review for each establishment at one time. DISASTER
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 provided is true and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them,and that
I will abide by them``
Signatur� 4yil7 � :k�%� Printed Per/wY1L ‘7. g5/47014!2)
Date 44. /' 2 '
11
I
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V trlli Albemarle County
• Temporary Sign Permit Application CommuniryDevelopment
401 McIntire d,North Wing
Charlottesville,VA 22902
r&.7, 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,
clearance numoer provided by Stan or oustness name
to Pn
oNDertoSA. LAND IQvs'r the owner
lame or landowner on record
of Tax Map and Parcel Number O78oO - oo -00- Oir1 Dro 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)
i i Hand delivering a copy of the application to the owner identified above on
Date
L Mailing a copy of the application to the owner identified above on
Date q. 25 2c to the following address:
22y /y '11Sr. rv.r✓cJ, cv#ei0,7sv/k , v4 .
(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 i;�� --
Applicant Name Printed ,Z 4 t'yyL G. ,5- ioa/D
Date 5/• 0 7• ZZ
2
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