HomeMy WebLinkAboutTS201500115 Application 2015-09-14Application 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 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 1 Business Name: V I ol f J —S
Location of Sign / Property: 10 -- f 3 �1�� f' 1 �I ct.,P
Tax Map and Parcel: _ i'L ( 2-14 zoning: o - a c � vt
Physical Street Address (if assigned): _ % t7 3 1 _ F:Y-o sly cA5 p LL n,<--_ _'Zvi / t
ApplicantlBusiness Owner (Who sbould vm call/write concerning this project?): r''Al
Address 1036 City C -1y I x,41 -State t//7T Zip-ZIl/
Daytime Phone f eY2--�- ek) ax # E-mail T, K. Gam'
Owner of Record i6 ! ! r-4- t/('- �c� �`� .�-,�0►�� - — --
Please fill out the followinE:
What number permit is this for your business this year?
(check one) (this will be verified by stall)
Depending on the zoning district the maximum size of the sign will b
'!-24 square feet ❑ 32 square feet
1s` �(2nd ElP ❑ 4� 11S El 6th Dates you requesting the sign to be in place.
through
What type of temporary sign are you proposing? i
(check one)
❑ BANNER ❑ PORTABLE [!�A-FRAMIi
Depending on the zoning district the maximum height of the sign will be
(check one)
V1 12 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 Q#n&'r's / Agent's Signature
Issued/Approved By
When entering the dates above, please keep in mind the following
information:
• Each permit for a temporary sign sball be valid for a period
not to exceed fifteen (15) consecutive days after the erectio
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 (68) days of
temporary siggs in a calendar year.
ate
OFFICE USE ONLY
Fee amount $ �''w DaU Paid -f 1—! y Check # $ _ By Who? C ear►t l I % Receipt # 1 Q l Py. ks � permit
I
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
AMPinV) Pane 7 M
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