HomeMy WebLinkAboutTS201600010 Application 2016-02-29Application for
Temporary Sign Permit
APPLICATION REQUI t �:
[Temporary Sign Permit =Z hoo
DAttach a picture or sketch of sign showing dimensions and provide location of sign on property.
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign. l Business Name:
Location of Sign 1 Property: �le) F� - g7 �k_klK C 4
Tax Map and Parcel:�� Zoning: 2
Physical Street Address (if assigned):
E C)
Applicant/Business Owner (Who should we call/write concerng this projecY�:Ciy clkQt�/PAoStt�at�
V1 Address 6 1 Zip
Daytime Phone [43� -L 7 -3 6 5f 2. Fax 11 7_4 E-mail C 06W f �cJ-, USLr 1'L V
Owner of Record ,ca" CD �- r cc \./ t
Please fall out the followin :
What number permit is this for your business this year?
(check one) (this will be verified by staff
/151 0 ❑ 3rd ❑ 4a
What type of temporary sign are you proposing?
(check one)
9BANNBR ❑ PORTABLE ❑ A.-FRAAu
Depending on the zoning district the maximum height of the sign will be
�/ (check one)
Lid 12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
(See 184.15.8 - 18-4.15.14)
Depending on the zoning district the required setback from public
street right of way will be (check one)
. ❑ 5 feet ❑ 10 feet
(See 18-4.15.8 - 18-4.15.14)
C�
Property Ow4's / Agent's Signature
Depending on the zoning district the maximum size of the sign will be
�
(check one)
M- 4 square feet ❑ 32 square feet
(See 184.15.8 - 184.15.14)
�/j g ,D}ates you are requesting the sign to be in place.
l � k(& � , 2d( _ through i(- 2IAUt�g
When entering the dates above, please keep in mind the following
information:
• Each permit for a temporary sign shall be valid Jbr aperiod.
not to exceed Efteen (15) consecutive days after the erection
of the sign.
• The Ordinance requires the sign to come down between
permits and will be approved ou-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.
29ZO G9
Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fag: (434) 972-4126
7/1/2011 Page 1 of 1
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