HomeMy WebLinkAboutTS202300010 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:
Albemarle County
Community Deve Prent
401 McIntire Rd, NO Wing
Chadoftesville, VA U902
Phone 434.296.5832
Name: L -jU ATA
— - -
WlailAddress:
��SO.Jh6-ny%Q Fo Y"S.
Mailing Address: R.I a QV. �,
hone #: q 34 9151500
Business Name:
K�nta.F�aos.I ►ic..
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Tax Map and Parcel # Zoning:
andlor Address of the Business: 21S! �4Uk Iy1orJD �b Staff 01 B8 out if unk
Parcel Owner. Owner's Addr"W' 51 w1C )kTnontp �TL
Please fill out the following:
What number permit is this for
your business this year?
❑ 1a ,r2„d ❑ 3rd ❑ 4th ❑ Sth ❑ 6`h
L�
(check one)
(this will be verified by staff)
✓
❑
What type of temporary sign are
you proposing?
I� BANNER PORTABLE A -FRAME
(check one)
❑
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)
5 feet
The required setback from
public street right-of-way will be
Depending on the zoning
district the maximum size of the
[ 1 24 square feet 32 square feet
sign will be
`f1 y 123 1 /2.3
Dates you are requesting the
sign to be in place.
through 19
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 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 p id i d 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 I J 1
L5A F. AAA,
Signature Printed
Date 3_'' S — 2-3
t.
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-� Albemarle County
Temporary Sign Permit Application Community Development
407 McIntire RC, North Wing
Charbitewile. VA 22902
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 J LC, the owner
of Tax Map and Parcel Number -7 -�,�� 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)
C✓- Hand delivering a copy of the application to the owner identified above on
Date 3 - I S - 23
❑ 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 staff4or hel determining this information if needed)
Signature of Applicant
^L�
Applicant Name Printed
Date
t,siN F kAWril
-1 5- Z3
2