HomeMy WebLinkAboutCLE202200123 Application 2022-09-14Temporary Sign Permit Application
FOR OFFICE USE ONLY Sign Number:
Fee Amount: $ 31.20 Date Paid: By:
Application fee: $30+ Technology Surcharge: $1.20
Receipt #: Check #: By:
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Albemarle County
1—
Community Development
401 McIntire Rd, North Wing
Chadottesville, VA 22902
Phone 434.2%.5e32
Name:
Tavis Coffin
E-Mail Address:
coffint@albemarle.org
Mailing Address:
1500 sth street, suite D, charloaesville, VA 22902
Phone #:
434-8724512
Business Name:
Albemarle County Police Department
Tax Map and Parcel #
Zoning:
and/or Address of the Business:
12800-00-00-066B0
Staff will fill out if unknown
Parcel Owner:
County of Albemarle
Owner's Address:
401 McIntire Road, Ch'ville, VA
Please fill out the following:
What number permit is this for
your business this year?
1st El 2nd El 3rd ❑ 4m ❑ 5th El 6th
(check one)
(this will be verified by staff)
What type of temporary sign are
R1 ❑ ❑ A
you proposing?
BANNER PORTABLE -FRAME
(check one)
n ❑
Depending on the zoning
district the maximum height of
12 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
public street right-of-way will be
5 feet
Depending on the zoning
district the maximum size of the
X❑ 24 square feet ❑ 32 square feet
sign will be
Dates you are requesting the
sign to be in place.
09/17/2022
through 10/01/2022
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
VDITIONAL
the sign. . KIWI
TIM -
The Ordinance requires the sign to come down between permits and will be approved on -site by a Code Compliance WED DURING
Officer during regular business hours only.
DVID-i9
A maximum of two permits will be accepted for review for each establishment at one time. TER '
Please note that an establishment Is not Permitted more than sbrty (601 days of temporary signs in a calendar vear
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.
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 knowledge. I have read the conditions of approval, and I understand them, and that
I will abid by them. /
/' /�% nI_l
Signature Printed � �.3 �-Ol'lTr , Aby
Date /1�
SIMPSON PARK
Strengthen Ties. Build Community
Celebrate Southern Albemarle.
SATURDAY, OCTOBER 1ST
FUN STARTS AT 5 PM
MOVIE IN THE PARK AT 7:30 PM
www.Albemarle.org/ParkDay
r
ACPR
ALBEMARLE COUNTY PABKS3BECBEATION
I>RG1
YANCEY SCHOOL
COMMUNITY CENTER
d ss
NO
Zoning Clearance Application
FOR OFFICE USE ONLY
Fee Amount: $ 61.36
Application fee: $59 + Technology Surcharge: $2.36
Receipt M
Clearance Number:
Date Paid: By:
Check #: By:
Applicant - Fill out the entire page below and return to:
Community Development 401 McIntire Rd, North Wing, Charlottesville, VA 22902
4 PF Alp
Albemarle County
Community Development
401 Mcinlim Rd, North Wing
�.. Chadottesville, VA 22902
hRCI`t\1' Phone 434,296.6a32
Name:
Tavis Coffin
E-Mail Address:
coftint@albemarle.org
Mailing Address:
1600 5th Street, Suite D, Charlottesville, VA 22902
Phone #:
434-872-4512
Tax Map and Parcel
number and/or Address
of the Business:
12800-00-00-086BO
Zoning:
Staff will fill out if unknown
Parcel Owner:
Albemarle County
Owner's Address:
1 401 McIntire Road
Check any that apply:
❑ New Business ® Change of Use ❑ Change of Ownership ❑ Change of Name
Business Name:
Description of Business:
Describe the business including use, number of employees,
number of shifts, availability of parking, and any additional info.
Requesting waiver on amplified music as well as video/sound (for movie night). This is a community event sponsored by ACPD, ACPR and
the Yancey Community Center. Event will occur between the hours of 5:OOPM and 09:30PM.
Previous Business on Site:
Floor Plan:
Please attach either an architectural drawing or a sketch of the proposed business indicating the location of uses, the
uses of rooms, the total square footage of the use, and any additional information.
Total Square Footage Used
for the Business:
Is the Parcel Zoned LI, HI, or PDIP?
Yes No
If yes, fill out a Certified Engineers Report fCERI
Will there be food preparation?
Yes No
If yes, provide Virginia Department of Health approval
Is the Parcel on public water or private well?
Public Private
If on private well, provide Virginia Department of Health approval
Is the Parcel on public sewer or septic?
Public ❑X Septic
If on septic, provide Virginia Department of Health approval
Will you be putting up any new signage?
Yes ❑X No
If yes, obtain appropriate sign permit and list permit # below
Will there be new construction or renovations?
Yes X❑ No
If yes, obtain appropriate building permit and list permit # below
Please list any applicable Building Permit #s:
Zoning Clearance review cannot begin until the application above is complete and all applicable forms and fees are submitted.
This Clearance will only be valid on the parcel for which it is approved. If you change, intensify, or move the use to a new
location, a new Zoning Clearance will be required.
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.
Signature Printed
Printed / 4yrS ��7`riJ
Date%��iS� 2