HomeMy WebLinkAboutTS201500112 Application 2015-09-09Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
❑ Temporary Sign Permit = $25
❑ A picture or sketch of sign showing dimensions and location of sign on property must he attached with
this application.
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: _ Z 1 r`7K
Location of Sign / Property: L �� ✓c
Tax Map and Parcel: - Zoning:
Physical Street Address (if assigned): CFL
Applicant/Business Owner (Who should we call/wAte concerning this project?): 2
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Address ( City C-4 ,r A `�` SW/ State � Zip Zz ,6
Daytime Phone 6t J 17 .9— `/ � bF'ax #f 9 -7 3 _Q �Z 1 -mail i"\ (b (a (d - . to/' A e --I
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)
❑ Zad ❑ 3rd ❑ 4th ❑ 56 ❑ 6th
What type of temporary sign are you proposing?
(check one)
ANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
❑ 12 feet if freestanding ❑ 20 feet ff 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'
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet /�e32 square feet
Dates you are requesting the sign to be in plac .
/ through 9 Z
When entering the dates above, please keep in mind the following
information:
a Each permit for a temporary sign shall be valid for a period
not to exceed fifteen (I 5) 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 maximurp of two permits will be accepted for review for
each establishment at one time.
Please note that aim establishment is not
permitted more than sixty (60) days of
temnorary signs in a calendar year.
,T/2-'/ f, -
Date
Date
County of Albemarle Department of Communih' Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
4/26/2012 Page 1 of I
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OFFICE U
Fee $
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Date Paid
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Check # JW By Who?
Receipt # V
By:
Permit # �QC
amount
County of Albemarle Department of Communih' Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
4/26/2012 Page 1 of I
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