HomeMy WebLinkAboutTS201600036 Application 2016-06-08Application for
Temvorary SiLyn Permit
`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:
C
'fax Map and Parcel: 0-y 1 �� - Zoning
Physical Street Address (if assigned): 1 U O b Q,l S�
Applicant/Business Owner (Who should we calla vrite concerning this project?): i `( rb, p Let, CFnv" C.I,
Address 5\ W Ci �J „l��P State , Zip `^G CI�
Daytime Phone tom? �► 31 C al Fax E-mail 1F1# t3 (�_ \1 C, e, lj ('
Owner of Record
Please fill out the followine:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑l" �2nd ❑3H )4m
What type oftcmporary sign are you proposing?
(check one)
❑ BANNER ,.kPORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
(See 18-4,15.8 - 18-4.15.14)
Depending on the zoning district the required
setback from public street right of way will be
(check one)
} 5 feet ❑ 10 feet
(See 18-4.15.8 - 18-4.15.14)
Ownesi"s / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
(check one)
24 square feet ❑ 32 square feet
(See 18-4.15.8 - I8-4.15.14)
Dates you are requesting the sign to be in place.
�1 through
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.
1311
Date
OFFICE USA QjLY y! y
Fee amount $ y�C`� Date Paid Check # 1 H77 By� `! Receipt # � By: Permit R b
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of 1
9
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
Thu form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to 1_*S\1L 00 -Y%- k'AN Ck �� the owner of record of Tax Map
[name(s) o he record owners of the parcel]
and Parcel Number Ckjl ov] - W ..u6- 4 31UD by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to .rt �� "r Q SSCs�'
[Name oA a 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]
on113���
Date
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
Date
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].
Signature of Applicant
tu
rcc,, 'r
Print.Applicadt Name
Date
Albemarle County
Planning Application
-MPI 07800-01MIG-014O0 Owrrner(s):
Application #I n2ot 60003
Community Development Departrr
401 McIntire Road Charlottesville, VA22902-4f
Voice : (434) 296-5832 Fax: (434) 972-4,
'S FIRST FAWILY OF FINE CARS INC C/o BROWN HCN
Legal Description ACREAGE BROWN TOYOTA
Magisterial Dist.: Rivamm Lard Use Primary Commercial
Current AFD Not tlt>E A F District Current Zoning Primary { fthWay Commercial
APPLICATION INMRMAIIBN -
Street Address 057 t2ICHMOND RC CHARLOTiESVILLE, 22911 Entered
ROXI Ma
Application Type Temporary Signs 5I33�f2D1b if4�
Project
Received Date 05f 13/ 16 Received Date Final Submittal Date 05/ 13J 16 Total Fees
Closing File Date Submittal Date Final Total Paid
Revision Number
Comments
Legal Ad
1 L"PU ART SIGN PERMIT
RROWiyB AUTO SALE
MAY 25-NAY 314 2DIL6
f SUB APPLICATION(s)
ILUM IAC. 1
Signature of Contractor or Authorized Agent [Tate