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HomeMy WebLinkAboutTS202300013 Application 2023-04-04© Temporary Sign Permit Application FOR OFFICE USE ONLY Sign Number: Fee Amount: $ 31.20 Date Paid: By: Application fee: $30+Technology Surcharge: $1.20 Pero„a A Check #: By. 2 Albomarle County 1r fi'I�;, Lom,uniry wveP ao1 Mclnitre aaN . wu c h.. Fnooe4anra. 683390I GlionBIN396.5833 Name: �'-// E-Mail Address_ j Mailing Address: ' / Phone #: - 73- Business Name: ` ' --W1 �(; pJa.(�p -p 0'00 - Fax Map and Parcel # ning: and/or Address of the Businessr:. suswa rel om as �p Parcel Owner. & C ,ptip Owner's Add Please fill out the following: IUiI 2-3- / What number permit is this for your business this year? ,-,/� 2dd El 3,d 0 ❑ Bm ❑Ben L� (check one) (this Will be verged by staff) What type of temporary sign are ,/ I� BANNER ❑ PORTABLE ❑ A -FRAME you proposing? (check one) Depending on the zoning Fr12 El20 feet ❑ 30 feet district the maximum height of 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 0124 square feet ❑ 32 square feet sign will be Dates you are requesting the 311 Lif I sign to be In place. 3 a3 throw h a3 9 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 A2FI the sign. REGARDING ADDITION The Ordinance requires the sign to Come down between permits and will be approved on -site by a Code Compliance ALLOWED D Officer during regular business hours only. 1 THE COVID= A maximum of two permits will be accepted for review for each establishment at one time. DISASTER ;. Please note that an establishment is not Permitted more than sixty (60) days of tempera" skins in a calendar Year. Review of this application Cannot begin unfit 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. 1 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 b them. Signature Printed o Date ,.'i/� I � -3 yyOP ;i- AlEamatla county Temporary Sign Permit Application - , 41 Md.Ra:�W% Ge,lollnNb, VA]3gp3 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, tothe owner of Tax Map and Parcel Number 0 a QO- W "yU-7C© 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 [� Mailing a copy of the application to the owner identified above on Date �/a9/2� to the following address: 3c/_5-�- P�oc � C,co e—Ra(da'4villn (Written notice to the owner and last known address on our record books will satisfy this requirement. Please see staff for help determining this information if needed) Signature of Applicant (tyt� / h vr, .n Applicant Name Printed /JOyln/ UZPlo» Date a lif-A-qs lk�`/