HomeMy WebLinkAboutTS201500145 Application 2015-12-09Application for
Temporary Sign Permit
A KATION 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:
L.� (5 & Va, Oty-
Location of Sign /Property:
Tax Map and Parcel:
Physical Street Address (if assigned):
Zoning: R — 2
Applicant/Business Owner (Who should we eall/wtite concerning this project?): r,J VY,�W i 6k
Address t Leos- ask City state jip.
Daytime Phone L4_�J(L11 3 CP S L Fax # �'�] 1 E-mail [ (1rQt G LCA
Owner of Record 0 r✓ t—
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by stag)
[list ❑ 2nd 03 rd 4� ❑ 5th ❑ 6th
What type of temporary sign are you proposing?
(check one)
FANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
M/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 Ovdder's /Agent's Signature
Issued/Approved By
OFFICEO Y �
Fee amount $ Date Paid UAII I Check # 113 By
Depending own the zoning district the maximum size of the sign will be
[�-Z4 square feet ❑ 32 square feet
,, a ig
Dates you are requesting the sign to be in place.
L� L ` AE through d3P-C i `z -s 2,06
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 atter 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.
+ PIease note that an establishment is not
permitted more than !111X (60) days of
M
tzfL(
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Date
Date
PermitV-145
4/26/2012 Page 1 of 1
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