HomeMy WebLinkAboutTS202300009 Application 2023-03-21Temporary Sign Permit Application
FOR OFFICE USE ONLY Sign Number
Fee Amount: $ 31.20 Date Paid: By:
Application fee: $30+ Technology Surcharge: $1.20
Receipt #: Check #: By:
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Albemarle County
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Community Development
401 McIntire Rd. North Wing
Chadottesville, VA 22902
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Phone 434.296.5832
(Name:
4#K$R.&S.I,AjTL4 Cn19[A Mail Address: II
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Mailing Address:
S I 4yM Phone #: *34 S 1500
Business Name:
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Tax Map and Parcel #
and/orAddressoftheBuslinii4ilUl Si4Y%IejQ,L L.
'Parcel Owner: ka4l Ft &.os
2.4 51f.4 CkLailawo
Please fill out the following:
What number permit Is this for
your business this year?
Elis, 2rtd El 3rd ❑ 4th 1-1sth ❑ 6th
(check one)
(this will be verified by staff)
What type of temporary sign are
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9 ❑: ❑
you proposing?
BANNER PORTABLE A -FRAME
(check one)
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❑
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
❑ 24 square feet 32 square feet
Depending on the zoning
district the maximum size of the
sign will be
/ I
Dates you are requesting the
sign to be in place.
13 through
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 (601 days of temporary sians in a calendar veer.
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 cvi is a and accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that
I will abi a by a
.JSA P L, VI IAr1►�
Signature Printed
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Date ✓��S�Z-3'
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RECEIVEL'
COMMUNi �
DEVELOPti"tE` '
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