HomeMy WebLinkAboutTS202200028 Application 2022-12-12Temporary Sign Permit Application
FOR OFFICE USE ONLY
Fee Amount: $ 31.20
Application fee: $30+ Technology Surcharge: $1.20
Receipt #:19-6,3Z(P
Sign Number: 15�/ �_ 2
Date Paid: 12J9 JZZ
Check #:30W
Albemarle County
Community Development
401 Willire Rd, North Wing
Chado"ewiffe, VA 22902
Phone 434.296.5832
By:church of Our snuiouk
By: DAD
Name:J,
E-MailAddress:
1 L b5 io, Qd, Fiu yt Phone #:
Mailing Address:
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Business Name:
owal 0rp D✓� Saviour
Tax Map and Parcel #
and/or Address of the Business:
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Zoning:
Staff will flNnut If unknown
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Parcel Owner:
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Owner's Address:'
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Please fill out the following:
What number permit Is this for
your business this year?
(check one)
❑ 1� ❑ 2rta ❑ 3rd I� 4`" ❑ 5e ❑ 6e
(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
12 feet ❑ ❑
maximum height of
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 J
Depending on the zoning
district the maximum size of the
❑ 24 square feet 32 square feet
sign will be
Dates you are requesting the
sign to be in place.
� ^� � t2
l through Zkr- • 2
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 temoorary 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.
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 t em.
Signature Printed
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Date l2 51 2`Z v
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