HomeMy WebLinkAboutTS201000017 Legacy Document 2010-03-12-- - - -T-em - orar- -Si n-P-er-mit
- - D�emporary 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:
Tax Map and Parcel: Zoning:
Physical -Street Address (if assigned): / Z y J /Y %1 L rte<llY �/2 2 2-9ePr/
Applicant/Business Owner (Who should we call/write concerning this project?):�--
/
--- Address - C -S���Zi
p �
Daytime Phone( J y) z Fax # g 7,/ — �/� G ✓'E-mail ej
Owner of Record 2f
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Elist El2nd ❑ 3rd
?)
What type of temporary sign are you proposing?
(check one)
Ql!A❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
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
(check one)
/BT feet- ^ . - ^ - ^ ❑ 10 feet
Property Owner's / Agent's Signature
Depending on the zoning district the maximum size of the sign will be
(check one)
[��quare feet 32 square feet
(See 18-4.15.8 - 18-44.15.14)
Dates you are requesting the sign to be in place.
t> through 0 -20- 2,57-1L)
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 Enforcement Officer during
regular business hours only.
A maximum of two permits will be accepted for review for each
establishment at one time.
Date
By ,/) U Date
OFFICE USE ONLY ) !
Fee amount $ a Date Paid 2il '��� Check #04 -1 By whoT { VP li I Y Receipt #� � By P9 f6l Permit #
- County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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