HomeMy WebLinkAboutTS201600041 Application 2016-06-08Application 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. T
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: Peace Lutheran Church
Location of Sign / Property: corner of Route 29 north and N. Hollymead Drive
Tax Map and Parcel- "' Zoning: ] d i, i 4�
I
Physical Street Address (if assigned): 1510 Broad Crossing Road , Charlottesville VA 22911
Applicant(Business Owner (who should we call/write concerning this proiect?): Peace Lutheran Churcn
Address 1510 Broad Crossing Road City Charlottesville State VA Zip 22911
Daytime Phone (434 ) 978-4357
Owner of Record Peace Lutheran Church
Please fill out the following:
Fax #
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑1st 0 2nd ❑ 3rd ❑ 4th ❑ 5th ❑ 6th
What type of temporary sign are you proposing?
(check one)
0 BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
❑ 12 feet if freestanding 0 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
Owner's /
Issued/Approved By
E-mail churchoffice@plchurch.org
Depending on the zoning district the maximum size of the sign will be
0 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
June 5, 2016 through June 19, 2016
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 six 60 days of
temnorary signs in a calendar veer.
S• IJ. !,
Date
OFFICE USE ONLY Rt p,Ge v
Fee amount $ ® Data Paid 5ja!4 f I1Check # (�� %9 By Who? I jjAjAr ;r-Q Receipt # i l� } 7 By: � Permit # T
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
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