HomeMy WebLinkAboutTS201600031 Application 2016-05-06No FEES
Application for
' ' x rary Sign Permit
t�f
❑ Temporary Sign Permit = $27
ATTACH A)PICTURE OR SKETCH OF SIGN SHOWING DIMRNSIONS AND LOCATION ON THE PROPERTY
Name tm Sign / Business Name,
Location of Sign 1 Property, llk�d A
Tax Map and Parcel; �Q lA. 0 4. /►s� Zoning;Ws C-
Physical Street Address (if assigned):
Applicant,Musittess Oveiter jWho should we cailAvritc concerning this pmject7):kLw
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Address �4� '86A49Y CitY._ Scats Zip�
Daytime Phone to "4%= pax `4 -tnai dam! ao 140,
Owner of Record
Ple 9 fill ih lowia
Depending on the zoning district the maximum size of the sign will be Whet number permit is this for your business this year? (check one) 1�1'3
Gk One) (this will be vcrlfied by staff) ❑ 24 square feet 2 square feet
❑ 2B4 0 31e p 41h (See 18-4.15.8 - 19-4,15.14)
What type of temporary sign are you proposing?
(check one)
❑ BANNER PORTABLE. ❑ A-FRAML
Depending on the zoning district the maximum height ofihe sign will be
(check one)
12 feet iffreestandlag ❑ 20 feet if on a wall C] 30 feet if on a wa[l
(See t8-4,15.8 - 184.15.14)
Depending on the zoning district the required
setback from public street right of way will be
(check one)
feet Q 10 feet
n _ (See 1$- i im y isA15.14)
Property Ownerlg / Agent's
Issued/Approved By
hates you are requesting the sign to be in place.
When entering the dates above, please keep in it i d the fallowing
information:
Each permit for a temporary sip shell be valid for a period not to
exceed fifteen (I5) oonsecntive 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 RnforCement Officer during
regular business hours only.
A maximum oftwo permits will be accepted for rMew far each
establishment at one time.
OFFICE USE O Y Cn G T5c acl 10 — 3)
flee amount S ate Raid _ Check �t3y Whot_ _ Receipt i1 By Permit #
���"TTTTTT���"'' County of Albemarle Department of ComMunity Development
401 McIntire Road Charlottesville, VA 22902 Voice; (434) 296-5832 Fax: (434) 972-4126
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CERTIMCATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This farm must accompany zoning applications (Home Occupation, .Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) Irthe application is not the
owner,
rl�
I certify that notice of the application, e_
was provided to t U UC- Ivv— "
[name(s) of the record owners of the parcel]
R AQ
number]
the owner of record of Tax Map
and Parcel NumbA ����0 Q () 11Z) D by delivering a copy of the application in the
manner identified below:
w �
Hand delivering a copy of the application to
[Nance 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 4 3 6 0 _ 76
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
ifthe owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Lute
to the following address:
[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].
e
Signature of Appli
iAA
Print Applicant Name
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