HomeMy WebLinkAboutTS201600011 Application 2016-03-23Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
Q Temporary Sign Permit = $27
Q 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: peace Lutheran Church
Location of Sign I Property: Corner of Rt. 29 and N. Hollymead Rd, Charlottesville 22911, attached to permanent sign
Tax Map and Parcel:
Zoning:
Physical Street Address (if assigned): 1510 Broad Crossing Road, Charlottesville, VA 22911
Applicant/Business Owner (Who should we call/write concerning this project?): Teresa Cooper, parish administrator
Address 1510 Broad Crossing Road
Daytime Phone4( 34) 978-4357
Owner of Record Peace Lutheran 'Church
Please fill out the followine:
Fax #
What number permit is this for your business this year?
(check one) (this will be verified by staff)
DISI ❑ 2ad ❑ 3rd ❑ 4m ❑ 5t8 E-16 th
What type of temporary sign are you proposing?
(check one)
0 BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
0 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
Owner's /
Issued/Approved By
OFFICE USE N,Y �]�C�j
Fee amount - - . Date Paid Check # ROV By
City Charlottesville
State VA Zip 22911
E-mail churchoffice@plchurch.org
Depending on the zoning district the tnaximum size of the sign will be
® 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
March 12, 2016 through March 27, 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
permitted more than sixty (60) days of
temoorary siens in a calendar vear.
3,
Receipt # 105174 By: 6L Permit #
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
11/02/2015 Page I of 1
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