HomeMy WebLinkAboutTS201600020 Application 2016-03-28Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
Z 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 no 'cc of this application has been yroyided to the property owner, if owner is different
from annlicant. ��.1..... .�..��'® s .w �_. 0�1 %
Name on Sign /Business Name: Maple Grove Chirstian Church
Location of Sign /Property: Near entrance, along Proffit Road
Tax Map and Parcel: 03200-00-00-029DO
Physical Street Address (if assigned): 3210 Proffit Road
Zoning: R1
Applicant/Business Owner (Who should we calUwrite concerning this project?): Sart Svoboda (434)962-1514
Address 3210 Proffit Road
Daytime Phone { 4q4) 973-2066 Fax #
Owner of Record Maple Grove Christian Church
Please fill out the followine:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
m151 ❑ 2•d ❑ 3rd ❑ 4's ❑ 51h ❑ 6d'
What type of temporary sign are you proposing?
(check one)
® BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
m 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 1 Agent's Signature
Issued/Approved By
OFFICE LY "
Fee amount $ a pate Paid Check # = By Who?
City Charlottesville
State VA zip 22911
E-mail serrine@maple-grove.org
Depending on the zoning district the maximum size of the sign will be
® 24 square feet ❑ 32 square feet
Dates you are requesting the signtobe in place.
3/1012016 through 3112016
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
ermitted more than s' b0 days of
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
03/10/2016
Date
Permit
11/02/2015 Page 1 of 1
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