HomeMy WebLinkAboutTS201600002 Application 2016-02-01Application for
Temporary Sign Permit
@I
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.
Z Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: Logos Business Services, Inc.
Location of Sign / Property: 3510 Seminole Trail, Suite 3506, Charlottesville, VA 22911
Tax Map and Parcel: 03200-00-00-3800
Physical Street Address (if assigned): Same as above
Zoning: C1 Commercial
Applicant/Business Owner (who should we call/write concerning this project?): David Goloversic, President of Logos Business Services
Address 3510 Seminole Trail, Suite 3506
Daytime Phone (434) 409-6177 Fax #
City Charlottesville
State VA Zip 22911
E-mail info@logoschurchva.org
Owner of Record Airport Plaza LLC, 5029 Stony Point Road, Barboursville, VA 22923 Phone: (434) 964-1288
Please fill out the followin :
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Zis` ❑ 2nd ❑ 3"d ❑ 4's ❑ 5t ❑ 61h
What type of temporary sign are you proposing?
(check one)
m BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
❑ 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 Owner's / Agent's Signature
Issued/Approved By
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.
January 17, 2016 thro.ghJanua 31, 2016
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
ep rmitted more than sixty (60) days of
01/07/2016
Date
Date
OFFICE USE ONLY /
Fee amount $ a o Date Paid oo �� Check # 42 By who? .}) V �d, Receipt # rte'` Y 513y: Dfz- permit # Z -d) �p 2
D oyG�l G
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
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to Airport Plaza LLC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number 03200-00-00-3800
manner identified below:
by delivering a copy of the application in the
X Hand delivering a copy of the application to Hk • -N-11 H a
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on January 7, 2096
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature oiXpplicant
David Goloversic, President of Logos Business Services
I?rint Applicar_t Name
January 7, 2096 _
Date
"I
Al o * k day th ru Sa turda
,Logos Business Services, Inc.