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HomeMy WebLinkAboutTS201500123 Application 2015-11-03Application for Temporary Sign Permit APPLICATION REQUIREMENTS: ❑ Temporary Sign Permit = $25 ❑ A picture or sketch of sign showing dimensions acid 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: Location of Sign 1 Property: - 10 S Le tm `rte r r a 5 ',E Tax Map and Parcel: 6 ~ a d, _ Zoning: [,J-Ct°�t�1yYc'�Cv c. Physical Street Address (if assigned): Applicant/Business Owner (Who should we call/write concerning this project?): & T I IJ P Address 3i 5 �� City Ct„� �� _ State v4 Zip. Daytime Phone (DD �. T Fax # E-mail Owner of Record Please fill out the following: r er per t is this for your business this year? e verified by staff) �d 1:13 rd E-14 th ❑ 5 th ❑ 5th What type f temporary sign are you proposing? (check one) BANNER ❑ PORTABLE ❑ A -FRAME Depending on the zoning district the maximum height of the sign will be (check one) 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 Owner's 1 Agent's Signature Issued/Approved By Depending on the zoning district the maximum size of the sign will be ❑ 24 square feet Z32 square feet Dates you are requesting the sign to be in place. '/� through 1a - 6- /S ,a- at-Rr-ls- 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 temnorary siLyns in a calendar near. 14-/S-,DC/S Date 'aa OFFICE USE ONLY 1 icS�( &ell+' VL Receipt I Vl By: � Permit Fee amount < 4" Date Paid i �� 5 Check # 13y Who? p o- VA- 1-L(_ County of Albemarle Department of Community Development 40I McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 4/26/2012 Pagel of 1 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This fora: must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, [County application name and number] was provided to [name(s) of the record owners of the parcel] and Parcel Number manne identified below: delivering a co of the application to Hand de g cony Pp the owner of record of Tax Map by delivering a copy of the application in the [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant &4 C. hjec k" 4� Print Applicant Name /(—/9 -due Date MA 0