HomeMy WebLinkAboutTS201500151 Application 2015-12-18Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
V
emporary Sign Permit = $27
picture or sketch of sign showing dimensions and location of sign on property must be attached with
this application.
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from aDDlicant.
Name on Sign / Business Name: ?" U �f-t cc,M+ C,�,u<A
Location of Sign / Property: / 1510
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Tax Map and Parcel: CA 6' q t r
Physical Street Address (if assigned):
1-1
tbad Ch6sS
~ Zoning:
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Applicant/Business Owner (Who should we call/write concerning this project?):
Address _ 1<5(D (;a rA-k C A S-$"r:sr, City
Daytime Phone Y j � - 4'3 5lFax #
Owner of Record t4LGt
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑1St ❑ 2nd ❑ 3'd [f 4th ❑ 5th ❑ 6a,
What type of temporary sign are you proposing?
(check one)
eBANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
❑ 12 feet if freestanding 93'20 feet if on a wall ❑ 30 feet if on a wall
The required setback from public street right of way win be
5 feet
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Property Owner's / Agent's
Issued/Approved By
Ct lti HAtA ql a 9 a Or
tial I It, State 1� A Zip 9 1 1
E-mail C kU/ffist. 0 _i C-9& 'Di C kufc 'DYL�
Depending on the zoning district the maximum size of the sign will be
Z'24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
Ci / off --through & C J
d
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
cA I i-1 ( s-hZ hfy /Z, 10.15
Date
Date
OFFICE USE ONLY
Fee amount $ .` Date Paid rd SS` / ~heck # 1 OXII D— By Who? Receipt # '' By: ftS?_Permit
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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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