Loading...
HomeMy WebLinkAboutTS202300003 Application 2023-02-13Temporary Sign Permit Application FOR OFFICE USE ONLY Sign Number: Fee Amount: $ 31.20 Date Paid: By: Application fee: $30+ Technology Surcharge: $1.20 Receipt #: Check #: By: Albemarle County Community Development 401 Mclnure Rd Non h Wing Charlottesville. VA 22902 Phone 434.296.5832 ;Name: �R$Rvf, ��✓J isa. hr ro , Mailing Address: _-451 4 oo Business Name: Tax Map and Parcel # andfor Address of the Bus! nee 2 !;1 44ctimow-3 Parcel Owner: a t `iL LfV S 2aSffimono�n.SfS _ Please BII out the following: What number permit is this for your business this year? ,�at 2pd 3rd 4m 5m sm (check one) L- (this will be verified by staff) What type of temporary sign are you proposing? J BANNER — PORTABLE ❑ A -FRAME (check one) Depending on the zoning — district the maximum height of L-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 5 feet public street right-of-way will be Depending on the zoning district the maximum size of the 24 square feet .�/d2 square feet sign will be Dates you are requesting the ) sign to be in place. 3l 3 �L3 through Z3 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 thjerection the sign. The Ordinance requires the sign to come down between permits and will be approved on -site by a Code ComOfficer 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 (601 days of temporary sions in a ca 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 ce ' that I wn or aye the owner's permission to use the space indicated on this application. I also certify that the infonnatio pro ' e i rue accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by th Signature Date y' 3 .• Albemarle County Temporary Sign Permit Application Community Development 401 munflrth nWing tre Rd. No Charlott w9e. VA 22802 Phone 434.296.5832 Applicant - If you are not the land owner, please fill out the entire page below confirming that you have either informed or are going to inform the owner of your application. CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER I certify that I will provide (or have provided) notice of this clearance application, to K`7Tyg-4,fi U-C- the owner of Tax Map and Parcel Number 19 - 334 by either delivering a copy of the application to them in person or by sending them a copy of the application by mail. (Please check one of the following below) � Hand delivering a copy of the application to the owner identified above on Date 2. - I - Z3 ❑ Mailing a copy of the application to the owner identified above on Date to the following address: (Written notice to the owner and last known address on our record books will satisfy this requirement. Please see stafFgr he jp deter pining this information if needed) Signature of Applicant Applicant Name Printed Date 2 RECEIVED FEB 1 0 202 COMMUNITY DEVELOPMENT � \tE9 S =�� � S©ice! . �-��»�� .� \(f �-- - �3��%� � . . �� .. , � �61�a /LQJSQ,2 � \� &| . . - �� . .�A� � j} � _/� ® � -� —�� - �����__.�