HomeMy WebLinkAboutTS201500139 Application 2015-12-02Application for
Temporary Sign Permit
11
APPLICATION REQUIREMENTS:
Temporary Sign Permit = $27
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: —
Location of Sign / Property: iA34'„ 11{'/t11/lo1Q -CY%�� cv� V4C r- ]WuL@i
Tax Map and Parcel: _ �' S� 3 Zoning:
Physical Street Address (if assigned): W", 4y
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Applicant/Business Owner (Who should we call/write concerning this project?): ICU, kor
Address 35) WOO Dyitt, city State VA zip '2','2- 1
Daytime Phone Fax # E-mail
Owner of Record
What number permit is this for your business this year?
(check one) (this will be verified by staff)
'dln ❑ 2-'d CJ 3-'d [:14- ❑ 51O ❑ f, -
What type of temporary sign are you proposing?
q (check one)
"BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
NlZ 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
Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet �32 square feet
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Dates you are requesting the sig�n7 to be in place.
v 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 pemtits 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
OFFICE USE ONLY l%5Z7J' W 1
Fee amount $ a-7 -- Date Paid I I alk Check # By who? �i Gtr ' �` Receipt # c-8ermit #
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972A126
11/02/2015 Page 1 of 1
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