HomeMy WebLinkAboutTS201600014 Application 2016-05-31Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
0 Temporary Sign Permit = $27
A picture or sketch of sign showing dimensions and location of sign on property must be attached with
this application.
0 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: 55 — 7 5 Zoning: C—/
Physical Street Address (if assigned): 4414 Ivy 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)
Aj:t ❑ 2nd ❑ 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 he
(check one)
0 12 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
Property Owner's / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet ® 32 square feet
7z Dates you are requesting the sign to
be in place.]
through / �- ` 6
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 maxitnum 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
Date
Date
OFFICE
Fee $
LY
Date Pai ` Check # J314
I
By Who? Receipt # �6y: 4k,._11cnnit#C0j0j("'
amount
+
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5932 Fax: (434) 9724126
11/02/2015 Page 1 of 1
�4- over 15" from road.
Banner.
Route 250
A Place to Breath Studio
Copy of Banner
!VIAL BE[I\K
Dimensions 48" x 95"
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