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HomeMy WebLinkAboutARB202200104 Application 2022-12-024 ADDlication and Checklist for Sign Permit Part A: Applicant and Parcel Information Project Name: Bulpan BBQ Address: 2075 Bond St #180 Charlottesville, VA Tax ma and reels : 061 WO-03-00-019AO Zoning: Commercial Contact ( Who should we call wl questions?) Name: Bison Draper Business Name: American Made Signs Address 407 Earhart Street Suite B City Charlottesville state VA Zip 22903 Daytime Phone L_) 434-971-1346 Fax # U E-mail permits@amedcanmadesigns.corr Contractor Name: Brion Draper Business Name: American Made Signs Address 407 Earhart Street Suite B City Charlottesville slate VA zip 22903 Daytime Phone L_) 434-971-1346 Fax # (_) E-mail Brion@,Amedcanmadesigns.com Business Owner Name: Doyoung Moon Business Name: Bulpan Korean BBQ Address 73 Court Place City Charlottesville State VA Zip 22901 Daytime Phone (__) 703-336-3917 Fax # (_) E-mail bulpankoreanbbq@gmail.com Part B: Determining application requirements and fees (includes 4% Technology Surcharge) NOTE: Fees are calculated PER SIGN. A separate application is required for each sign, except for directional signs, which may be grouped together on a single application. 1. Sign Permit — Please indicate which .sign type you are applyingfor: ❑ Freestanding or Monument Sign: $123.30 ❑ If a footing is required, an additional fee is required: $54.06 ® Wall Sign (Including property, awning, fuel pump canopy signs) $123.30 ❑ Sign Refacing: $85.60 2. Electrical Permit — Will the sign be illuminated? ❑ Yes (Illuminated signs require an electrical permit and an electrical schentatic.) $73.14 ® No $ 0.00 3. APB Review — Will the permanent signs) be constructed in an Entrance Corridor? (Go to huts, flmM1,Av.al her... __ '..ummunilr-develunina - , d for more information) ❑ Yes This is a new sign application. See ARB requirements next pages. $135.20 ❑ Yes This is a submittal of revisions to an in -process application. $ 67.60 ® No This sign will not be constructed in an Entrance Corridor) $ 0.00 FEE TOTAL (Please add all the amounts checked in sections 1 — 3): $ FOR OFFICE USE ONLY BPk ARB# Fee Amount $ Date Paid By who? Receipt N Check H By County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 www.albemarle.ora 04/2022 Page I of SECTION 4: WORK VALUATION A. Work Valuation $ 2800 Part D. Applicant Agreement Applicant must read and sign • Electronic submittals are preferred. If paper submittals are made, provide one copy. All submittal items become the property of Albemarle County. Applicants are encouraged to maintain duplicate copies in their own files. . 'fhe application package is not complete without this checklist, completed, signed, and included with the required submittal materials indicated on the checklist. I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to thee best of my knowledge and belief and contains all information required by these checklists 11/30/2022 Signature of person completing checklist Date Brion Draper / Owner 434-971-1346 Printed Name / Title Daytime phone number of Signatory County of Albemarle Community Development Department 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 www.albemarle.ore 04/2022 Page 4 of 4