HomeMy WebLinkAboutTS202200021 Application 2022-08-160.j�4
t; Albemarle County
Temporary sign Permit Application Comniunfi Rd,N nent
4o1 McIntire a lop wi
f9• C aAonesAa, VA 229o2
* tgAOn+'0.M Phone434.296.5832
FOR OFFICE USE ONLY Sign Number.a-0009-4
Fee Amount: $ 31.20 Date Paid: I I Iaot By.O-hurCh OF Qt tr- SCivio' LLAK
Application fee: $30+ Technology Surcharge: $1.20
Receipt #:/ a 5y6.3 Check #: 3 LOl005 By: Dr V
Name:
Arg rl V E-Mall Address:
ti bS- is Qd, F�a Phone #:
-
Mailing Address:
� �"13 5 12
Business Name:
�YAr of- diff sewt Our
Tax Map and Parcel #
/I
zoning:
.�
and/or Address of the Business:
Staff VM fit outif unknown
Parcel Owner:
4X `xtV�eu�
Owner's Address:
((b5 ��p�r ��iSrE
Please fill out the followlnn:
What number permit Is this for
your business this year?
❑ 1a El 2nd Id ❑ 4tn El Oh ElBa
(check one)
(this will be verified by staff)
What type of temporary sign are
r�r
YJ BANNER ❑ PORTABLE ❑ A -FRAME
you proposing?
(check one)
Depending on the zoning
Z 12 feet ❑ 20 feet El 30 feet
district the maximum height of
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 32 square feet
sign will be
—
Dates you are requesting the
�
'�'L Z through
` g
sign to be in place.
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 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. 1 also certify that the
knowledge. I have read the conditions of approval, and I understand them, and tha
information provided is true and accurate to the best of my
I will abide by them. // �� `/
�L
Signature 1 (/ ' Printed `��� d et `� o ) c1f t
Date
. - - . - C IPLI--7 ,
03
7,