HomeMy WebLinkAboutTS201500146 Application 2015-12-09Application for
Temporary Sign Permit
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APPLICATION REQUIREMENTS:
Temporary Sign Permit = $27
A picture or sketch of sign showing dimensions and location of sign on property must be attached with
khhs application.
Certification that notice of this application has been provided to the property owner, if owner is different
from annlicant.
Name on Sign / Business Name:
Location of Sign / Property: ,e%610
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Tax Map and Parcel: —g5o —&9ff 5Pt4
ja Zoning: X�
Physical Street Address (if assigned):
Applicant/Business Owner (Who should we callAwrite concerning this project?):
Address 3Z/0 ? ,*7' ;�a. _ _ City YctE State ��1 Zip 'n�ll
Daytime Phone Aqf1 f f%,; —V6G _ Fax # E-mail
Owner of Record ,s7J,wr
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑let ❑ 2°d X3rd ❑ 4m ❑ 5� ❑ 6u'
What type of temporary sign are you proposing?
(checkone)
XBANNER [:]PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
IP62 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
6et)
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
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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
Property Owner's / Agent's Signature f a'-� S Date
or
Issued/Approved By Date
OFFICE U�Y
Fee amount $ Date Paid �����r
4A_ __+_ Check # &3W By Who? eipt # �� By: Permit 4
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
11/02/2015 Page 1 of 1
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