HomeMy WebLinkAboutTS201600016 Application 2016-05-31Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
0 Temporary Sign Permit = $27
0 A picture or sketch of sign showing dimensions and location of sign on property must be attached with
this 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:
Location of Sign / Property: 4414
Rest
Commons Charlottesville, VA 22903
Tax Map and Parcel:
Physical Street Address (if assigned): 4414
Zoning:
Commons Charlottesville, VA 22903
Applicant/Business Owner (Who should we call/write concerning this project?): Michael Penny
Address 4414 Ivy Commons
Daytime Phone 4( 34) 817-4044
Owner of Record
Please fill out the following:
City Charlottesville
State VA Zip 22903
Fax # 434-817-4044 E-mail carrie@savvyrest.com
What number permit is this for your business this year?
(check one) (this will be verified by staff)
[]1st ❑ 2nd b(3rd ❑ 4th ❑ 5th ❑ 6th
What type of temporary sign are you proposing?
(check one)
® BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
912 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
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet ® 32 square feet
Dates you are requesting the sign to be in place.
through
When
When entering the dates above, please keep in mind the following
information:
• Each permit for a temporary sign shall be valid for a period
not to exceed fifteen (15) 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 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
Property Owner's I Agent's Signature Date - -
Issued/Approved By Date
OFFICE
nt 131 Y p y. % 014r)
Fee amount Date Paid , Check �} � �'I � B Who? Receipt # B ./ A �.. Permit �&'
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
11/02/2015 Page 1 of 1
Over 15" from road.
Banner.
Route 250
A Place to Breath Studio
Copy of Banner
NATURAL BEDROQM
Dimensions 48" x 95"
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