Loading...
HomeMy WebLinkAboutTS201600030 Application 2016-05-06No r&Fs ffQ Application for `i'exn ora8 _Sign Permit ID ❑ Temporary Sign, Permit = $27 ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY Name on Sign / Business Name: Location of Sign / Property - Tax Tax Map and Parcel; 10 Q ®0 6 6 1© �1 V Zoning: Physical Street Address (if assigned); Applicant/Business Owner (Who should we caiilwritc conceaing this pmject?): Address R 0 C—` -6a City _ ->'D State �e�--Z'+ZQ-ZP Daytime Phone Q �Z "ti�� Fax # � `-� + - '1 dam al ' C9 lrl'L �co e �...�� Owner of Record � k n r% i What number permit is this for your business thisyear? (check one) (this will be verified by staff) al ❑ 2nd ❑ 3nl ❑ 4& Whet type of temporary sign are you proposing? (check one) ❑ DANNER 0 PORTABLE ❑ A -FRAME Depending on the zoning district the maximum height ofthe sign will be (check one) Z feet if freestanding ❑ 20 feet If on a wall ❑ 30 feet if on a wall (See 18-4.13.8 - 18-4.15,14) Depending on the zoning district the required setback from public street right of way will be (check one) feet ❑ 10 feet Owner's l Agenfls Signature Depending an the zoning district the maximum size ofthe sign will be (check one) ❑ 24 square feet 1132 square feet (S c 1Q$�-44.1�5.8 DRyou' r$qu�stdn°g t$a is gn to be in place. See_ 6 ` 47 4wh When entering the dates above, please keep in mind the following information: Each permit for a temporary sign shell be valid for a period not to exceed f fteen (15) consecutive days after the crection of the sip. The Ordinance requires the sign to come down between permits and will be approved on -site by a Cade Enfaroement Officer during regular business hours only. A maximum oftwo permits will be accepted for review far each establishment at one time, Uollnty of Albemarle (Department of Community Development 401. McIntire Road Charlottesville, VA 22902 Voice. (434) 296-5832 Fax; (434) 9724126 aQ a 0 k + i -, 9 d� �4 1 m-g �+1 �7/1/x013 Page 1 of 1'W'kw !�DWI C N H M M Wit CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER Tills farm must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, ,sign Permits, Building Permits) if the application is not the owner, sue. n l certify that notice of the application, _ L tyr\ number] was provided to n 1 0 N*kMCMXQ,'S` ,L}tin - + W—W the owner of record of Tax Map [name(s) of the record owriers of the parcel] and Parcel NumbA 0 0 Q Q 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 4 Z 6 0 1 Date if Mailing 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 to the following address: Lute [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 Appj'qW Print Applicant Name l�at �1_b