HomeMy WebLinkAboutTS201500138 Application 2016-03-28Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
® Temporary Sign Permit = $27
SZ 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: Boy Scouts
Location of Sign / Property: Med Express
Tax Map and Parcel: 45-68C1 Zoning: rp 9b
Physical Street Address (if assigned): 260 S. Pantops Dr, Charlottesville, VA
Applicant/Business Owner (who should we cal/write concerning this project: Scott Lancey
Address 1545 Shady Forest Way City Charlottesville
State VA Zip 22901
Daytime Phone(434) 964-0880 Fax # 540-943-6676 E-mail scott.lancey@scouting_org
Owner of Record Stonewall Jackson Area Council Inc, Boy Scouts of America
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff
❑1st ❑ 2ud ® 3rd ❑ 4+6
What type of temporary sign are you proposing?
(check one)
❑ BANNER ❑ PORTABLE
[:1 5th ❑6h
® 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 I Agent's Signature
Issued/Approved By
OFFICE USE ONLY
Fee amount $ f I
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.
11/27/15
through 12/24/15
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 M da vssoof
Receipt # By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fant: (434) 972-4126
Date
1/",.
Date
Permit # i Ja o X51 —13g
11/02/2015 Page 1 of 1
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