HomeMy WebLinkAboutTS201600039 Application 2016-06-084
Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
[I] Temporary Sign Permit = $27
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 a licant.
Name on Sign / Business Name: 4 the Wounded 5k
Location of Sign / Property: US Route 29/Lewis and Clark Drive
Tax Map and Parcel: 32-6A
i
Physical Street Address (if assigned):
Zoning: PDIP
Applicant/Business Owner (Who should we call/Write concerning this p%sect?): Katie Murphy
Address one Boar's Head Pointe City Charlottesville State VA Zip 22903
Daytime Phone 4( 34) 9824848 Fax #
Owner of Record
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
®xst ❑ 2nd ❑ 3' ❑ 4th ❑ 5th
What type of temporary sign are you proposing?
, (check one)
E-mail km9ua@virginia.edu
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet 2132 square feet
❑ 6tn Dates you are requesting the sign to be in place.
May 22, 2016 throughJune 5, 2016
® BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(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 /
Issued/Approved By
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 far review for
each establishment at one time.
• Please note that an establishment is not
ermitted more than s' 60 days of
Date
OFFICE US NLY i JAI P,Ci t.b-c4e(�
Fee amount $ / � ate Paid eck Hy Who? � � Receipt #� 13y: Permit #
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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