HomeMy WebLinkAboutTS201500150 Application 2015-12-18Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
❑ Temporary Sign Permit = $27
❑ 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: Aema,/f -<' 9G'
[ 6 jL, -
Locationof Sign /Property: ff }} ✓,
A0 C vr/ ,, ✓4 2-2-5 u
Tax Map and Parcel: l i Zoning: l� ,
Physical Street Address (if assigned):�'�
Applicant/Business Owner (Who should we call/write onceming this project?): M � `� � `�f Pet a e"
Address ! � f r] f i 1 e 1q__/ City � I�� � le State V � Zip
Daytime Phone �3 ! ^g�'�i! Fax # E-mail
Owner of Record
Please fill out the followine:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Mist ❑ 2qd rQ- eq E] 4th ❑ 5th ❑ 6th
What type of temporary sign are you proposing?
(check one)
ANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
LJ it 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 / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
2/24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
t` -5'- 1;)'e L .� through 2i-77 0,4eC )
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
Date
Date
OFFICE USEON Y
Fee amount $ c�}� -T Date Paid Check # (Pd By Who? Receipt #E 1 Q LS V5By: A5 Permit #TS r1Q l5,
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/02/2015 Page 1 of 1
)11910
T3. m T
�,
wolm 6
JL
CO. >
>
40
-4
ba
Ul
of!' -'mm ®N
pj CD
. gco
CD
CL
i
CD
0
P
m
-00
3
cn
CD
3
---4 cn
0
3
0
CD,
ii
m