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HomeMy WebLinkAboutTS201000003 Legacy Document 2010-02-22Application for,°�``' TemDorary SiLyn Permit �� a Lj,,Temporary Sign Permit = $35 ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY Name on Sign / Business Name: Location of Sign / Property: �) _`� S� ! `vw4ieS�r, J VkL& Tax Map and Parcel: '32c; -Ca Cc -- % 03 Zoning: pInDc- Physical Street Address (if assigned): Applicant/Business Owner (Who should we call/write concerning this project?): (� 11ce I G � 1j;13 } �, e Address -Z-c? "Lk � L,-� City �%�'� - State VA- Zip-;!- / Daytime Phone (`t 3 `) 9,� -2 Z J Fax # cj(c 73 3 E-mail �S-j c; � ��j(� ('a ,£Gu �r�✓� n OwnerofRecord�Y% Please fill out the followinE: What number permit is this for your b iness this year? (check one) (this will be y " to b taff) 01st ❑ 2nd 3rd h What type of temporary sign are you proposing? (check one) Depending on the zoning district the maximum size of the sign will be (check one) El24 square feet 2 square feet (See 18-4.15.8 - 18-4.15.14) Dates you are requesting the sign to be in place. :q-7,3116 through /2//,o [-]BANNER ❑ PORTABLE ❑ A -FRAME When entering the dates above, please keep in mind the following information: Depending on the zoning district the maximum height of the sign will be (check one) 12 feet if freestanding ❑ 20 feet if a on wall ❑ 30 feet if a on wall (See 18-4.15.8 - 18-4.15.14) Depending on the zoning district the required setback from public street right of way will be one) /feet(check ❑ 10 feet (See 18-4.15.8 - 18-4.15.14) Owner's , � . 11,Y.1� d/Approved By s Signature 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 Enforcement Officer during regular business hours only. A maximum of two permits will be accepted for review for each establishment at one time. Date U Date OFFICE USE ONLY /n ,�� y 7� p ��4� © /1 Fee amount $ ' U 0 Date Paid d /, � %, Check # B Who. Receipt # Permit # �J County of Albemarle. Department of Community Development -401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 3/9/09 Page 1 of 1 h i' 6' 4' AssiSTED LIVING Similar to the above