HomeMy WebLinkAboutTS201500114 Application 2015-09-10Application for
Temporary Sign Permit
0
APP CATION REQUIREMENTS:
Temporary Sign Permit = $25
❑ A picture or sketch of sign showing dimensions and location of sign on property must be 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:
Location of Sign / Property: / U U_�4 �) ZZ
Tax Map and Parcel:
Physical Street Address (if assigned):
Applicant/Business Owner (Who should we
Owner of Record
Please fill out the following:
` . 1V
Co
g
Zonin : C 1 vi, it, e, Ci { ��4� 0
City
# E-mail
What number permit is this for your business this year?
(check one) (this will be verified by staff)
[list nd ❑ 3rd ❑ 01 ❑ 5th ❑ 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)
[�eet 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
Propertyfiw,ver's 1 Agent's Signature
Issued/Approved By
State Zip � C) I
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 place.
through
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.
• Please note that an establishment is not
permitted more than sixty (60) days of
tpmnorary signs in a calendar vear.
ql9
Za
OFFICE USE ONLY ! _
Fee amount $ �a� i - cO Date Paid : � Check # 4�_ By who? �UVIf� Receipt # ! i I By: permit Ll
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
4/26/2012 Page 1 of I