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HomeMy WebLinkAboutTS201600028 Application 2016-05-04Application for Temporary Sign Permit ,gPLICATION REQUIREMENTS: Temporary Sign Permit = $25 © A picture or sketch of sign showing dimensions and location of sign on property must be attached with thin application. 0 Certification that notice of this application has been provided to the property owner, if owner is different from applicant. Name on Sign / Business Name: Location of Sign / Property: D VK a Tax Map and Parcel: 4 4 - Z *qA Zoning: Physical Street Address (if assigned): We Applicant/Business Owner (Who should we cail/write concerning this project?): � Oga KID - "/ V (wa-hi- Address City o! lt`S_V;Ue _ State _ VA Zip -a�-2&/ Daytime Phone l lO - 4vh<Z Fax # E-mail e-ffl- . 4i�i O Q I. -Co Owner of Record "Jag V . Depending on the zoning district the maximum size of the sign will be What number permit is this for your business this year? (check one) (this will be verified by staff) ❑ 24 square feet 3iD F1 32 square feet eat dZ•a ❑ 3rd ❑ 41h ❑ 50 ❑ 61h Dates you are requesting the sign to be in place. What type of temporary sign are you proposing? through (check one) BANNER ❑ PORTABLE ❑ A -FRAME When entering the dates above, please keep in mind the following information: Depending on the zoning district the maximum height of the sign will be (check one) [a2 feet iffreestanding ❑ 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 • Each permit for a temporary sign shall be valid for a period not to exceed fifteen (IS) 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 wil I be accepted for review for each establishment at one time. + Please note that an establishment is not permitted more than sixty (60) days of ,1�4/---0/Z Date Issued/Approved By l5ate OFFICE U ON Y �h Fee amount L Date Paid bCheokt! �% By What )1CP Receipt#,193K By: P it i County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Tax: (434) 972-4116 4/26/2012 Page 1 of 1 SEARCH My Saved Projects Document Preview Business Cards Letterhead I Envelopes Labels I Badges I Tags .. ... .. . .. Brochures Flyers Postcards Signs I Banners Posters Stamps j Embossers Pads 2S I Pens Folders ...................... ... Apparel Gifts Giveaways Gift Certificates Calendars Holiday .. ............. Photo: Cards Books Invitations J Notecards Copies. Presentations. Promotional Products & more... Same Day In-store Products Welcome back, Atsukol Not Atsu%o? Click w. Back WELCOME, Atsuko (�_ . - )i :.) )2_ Banners -Large Account # 5358-6377-0928 I ................ View Smaller Order Now www.BalletSchoolVA.com 434-975-3533 Name Details B+A+L4L+E+T4S+C+H+0+0-+L+Copy Product: Banners - Large Created: 3124/2015 Ordered Identification #: Li GXC-93A24-eN4 Back View Smaller Order Now i Join us on 93 in Join our community This website is intended for US residents cnly. See International Sites. See our delivery po.',-.y for fu;i details Copyright 2014, Staples, Inc . All Rights 171,3,3rved. ca i �l �!` ti � i r � � �; �, �, ,. � 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, was provided to [County application name and number] [name(s) of the record owners of the parcel] the owner of record of Tax Map and Parcel Number 60 514 by delivering a copy of the application in the manner identified below: _ Hand delivering 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 i ecord and the recipient's title or office for that entity] on Date 1 Mailing a copy of the application to ITUJ l alm er [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 Lfz 6 -2-V I X to the following address: Date [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]. 5 gnature of Applicant ,Ati5mko I. AAA k4 Morn Print Applicant Name 4411-6 -�-V! d Date