HomeMy WebLinkAboutTS201500108 Application 2015-09-03Application for
Temporary Sign Permit
APPLICATIioN REQUIREMENTS:
❑ Tempotxry SigA Permit 2425
❑ A pidure or slte'tch of sign showing dimensions and location of sign on property must be attached with
this apprication.
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign/ Business Name: T —IU ViAV
Location of Sign 1 Property:. I :I Lt t(I 1 o - -
Tax Map and Parcel: L415 r vlq IN Zoning:
Physical Street Address (if assigned): _ -1 �'--f 'l eAe 0,
el
ApplicantBusinerrsslI Owner Who should we call/write concerning this project?): F ��� 1► lV �1 s� } � n +
Address n [ 1 —1ce6 CitydN-v itAkv i i It State y Zip �.�®1
Daytime Phone 'qq6 Fax kLM q73 q f"! mail
Owner of Record
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Ip F_] 2 a )(3A 0 Ota 5th 60'
What type of temporary sign are you proposing?
(check one)
5 BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
I2 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
The required setback from public street right of way will be
5 feet
Property Owner's / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in pla
el-LA,4 Z t o i through
Se +Dp_
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 coin down between
permits and will be approved on-site by a Code
Enforcement Officer during regular business hours only.
• A maximum of two perniits will be accepted for review for
each establishment at one time.
• Please note that an establishment is not
permitted more than sixty 60 days of
Date
Date
OFFICE USE ONLY
Fee amount S ' - Date Paid Check ii 00511 By who? 0''(-'e'3 Receipt By: A S(L Permit
Count)' of Albemarle Department of Communii}, Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
4126/2012 Page l of 1
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