HomeMy WebLinkAboutTS202200024 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:
Albemarle County
Community 0evebpnxmt
401 Mclmire Rd, North wing
Chadotlesville, VA 22902
Phone 434.296.5a32
Name:
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E-Mail Addre" ac ��\et�f�@ vlAoal-cm
Mailing Address: '.
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Phone #:
Business Name: ``-- - ""`
AW APEL
Tax Map and Parcel #
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Zoning:
and/or Address of the Business:
staff will fill out if unknown
Parcel Owner: �pl C er's Address:
Please fill out the following:
What number permit is this for
your business this year?
let Ind 3rd 4en ❑ 5tn ❑ 6w
(check one)
(this will be verified by staff)
What type of temporary sign are
you proposing?
BANNER ❑ PORTABLE ❑ A -FRAME
(check one)
Depending on the zoning
❑ ❑
district the maximum height of
12 feet 20 feet 30 feet
the sign will e
/ 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
-V§124 square feet ❑ 32 square feet
sign will be
Dates you are requesting the
sign to be in place.
C
) D 22 I 2 Z Z
through
When entering the dates above, please keep in mind the following information: SEE
Each permit for a temporary sign shall be valid for a period not to exceed fifteen (15) consecutive days after the erection of ACHED POL
the sign. ARDING
The Ordinance requires the sign to come down between permits and will be approved on -site by a Code Compliance ITIONAL TIME
Officer during regular business hours only. OWED DURING
COVID-19
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 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
will abide by the
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Signature Printed Clued a- i't\�t
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Date l -Z/
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Banner = 2.5 x 8'
RECEIVED
COMMUNITY
DEVELOPMENT