HomeMy WebLinkAboutTS201600032 Application 2016-05-31Application for
Te mpo rary Sign Pe rmit
A LICATION REQUIREXIENTS:
Temporary Sign Peurrit = $27
A picture or sketch of sign shoving dimensions and location of sign on property must be attached nth
application.
CertficatiOn fl7� notice of this applicationhas been provided to the properly owner, if owner is differellt
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N►une art Sign / Business NF=w: l '
Location of Sign/Property:T6"ef1
Tax Map And Parcel: fining:
Physical Street Address (ifassigtxxO: 0,5 0 v-r-_.o-a
-
ApplleantlBuslness ChAmt shaildwecalYwrte thsproject?j: ,1 [1
Address 12 9� City tote Zip �� [
Z 3 ( # k-1i�Q�yalr�de�'rc'�
I?ay� Phone E-it>a� �
Ovmor of Record `
VVb* number permit is this for yaw business dds year?
(k one) (this will be verified by staff)
151 ❑ 21d ❑ 314 ❑ 41k ❑ 5 ❑ 6Ik
What type of tenrperaay sign are you proposing?
(check one)
�B"NER ❑ PORTABLE ❑ A FRAME
Depending an the zoning district the madmma height of the sign wM be
(check o=)
❑ 12 feet If freestanding ❑ 20 feet if an a wall ❑ 30 feet if on a wall
The required setback from public street right of ways be
5 feet
Owner's / Agent's Signature
Ia sue&Approved By
Depending on the 2Oning district the modmurn s ire ofthe sigi will be
❑ 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place. s
5-2 3 - 1 C�tI DL71 Y �V
VVLen entering the dates shave, please keep in mind the folloffing
infarun now
• F.achpennnit for a twvorasy si91 shahs be valid fDr a period
not to emeed $ffeen (15) consecutive days affer the erection
oftbe signs
• The Ordinance requires the s4ito come down between
permits mid wiUbe approved ou-site by a Code
Fit Mlnent Ober durjr gregcr]ar busire55 hoxrs only.
• A maximin oftwo permits willbe accepted fir review fDr
each cdabM nrert at one tine.
• Please note that an estabffihment is not.
,permittedmore than sixty (60) days of
OFFICE USE ONLY r'k-c,-
Fee ammt $ dfl So-� Daft Paidf f 16 Check# A, ByVnw? eceiPt;t By:-fcfle�� Permt#
County of Albemarle Department of Comity Development
401 McIntire Road Charlottesville, VA 22M Voice: (434) 2%-M2 Fat: (434) 9724126
11/02/2015 Page 1 of
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0412612016 13,58
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