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HomeMy WebLinkAboutTS201600029 Application 2016-05-04Application for Temporary Sign Permit gPLICATION REQUIREMENTS: Temporary Sign Pennit = $25 © A picture or sketch of sign showing dimensions and location of sign on property must be attached with the 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: _ � 19-1 C5JLW r O� C64_1 b l $_VjI lie, ^ Location of Sign / Property: Z!!�ep / V Y f d Tax Map and Parcel: k ` 2 rj Zoning: Physical Street Address (if assigned): Applicant/Business Owner (Who should we call/write concerning this project?): �i! / : G . t�'i "I r1 f�4 M QY0 _ Address ?-�G �1_ _ _ City 1105 1lp State A. Zip _2!�Z0l. Daytime Phone D — 4 C g Fax # E-mail _ , ;e, t Sm. -0 6) Q WL Owner of Record FlMe fill out the following: 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 �p 32 square feet eifif 5 �2na 0 3rd 0 44h 0 51h 6t° Dates you are requesting the sign to be in place. What type of temporary sign are you proposing? through 144, 3 (check one) BANNER ❑ PORTABLE A -FRAME When entering the dates above, please keep in mind the following information: Depending an the zoning district the maximum height of the sign will be (check one) a12 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 / Airent's-ffit=rtaLure • Each permit for a temporary sign shall be valid for a period not to exceed fifteen (15) consecutive days after the erection ofthe 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 Issued/Approved By OFFICE lUACI&NLY Fee amount 5 Date Paid Check # 01 By Who? )ep Receipt If OL � +1 By: Z7.0CV �l . LLB County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 912-4126 2�s4' lei,& Date t Permit # a Q 0p " n 4/26/2012 Page I of 1 SEARCH W My Saved Projects I I Document Preview . ............... ...... ..... .. .. . . . ......................... .. i Business Cards Letterhead I Envelopes . .. .... ... .. ... .. . ..... ... ...... .. . Labels Badges J Tags Brochures I Flyers Postcards Signs I Banners Posters Stamps I Embossers Pads I Pens I Folders Apparel Gifts I Giveaways Gift Certificates Calendars Holiday J Photo: Cards Books Invitations Notecards Copies, Presentations Promotional Products more... Same Day in-store Products • WELCOME, Atsuko (Logout) 0 Store Locator Welcome back, Atsuko! Not Atsuko? Click htrj. Back Banners - Large Account # 6358-6377-0928 View Smaller Order Now Im WWWASallu ov ow-ftIVA mtSch 434m975=3533 Jd1n us on 11 in Join our community R=1 This website is intended for US residents only. See International Sites, See out delivery policy for full details Copyrigl7t 2014, Staples. Inc.. All Rights Reserved, if F r j i ff(jf f yy M � si T '.�.,.aY.•�� tt S e l Al � f^ F � i 5 � F��' i �e. �' •(�a J{ f t' i a' F 1 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER Thlsform must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations orAppeals, Sign Permits, Building Permits) if the application is not the owner. 1 certify that notice of the application, [County application name and number] was provided to the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number Is O ' r7� 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 record and the recipient's title or office for that entity] on Date Mailing a copy of the application to 11J.- f al Me [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 !tA6 0� 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]. Signature of ApplicantlX ,AtSkko T NA k4 t4D rD Print Applicant Naive 4 la-6 A-4D I Z Date