HomeMy WebLinkAboutTS201600051 Application 2016-06-20Application for
TeMDorary Sian Permit
Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name: _Q �■ [ c �%�f _ G��4 �� r _ _ _ _ _ _
Location of Sign / Property: 1 0
Tax Map and Parcel: "�� Zoning:easi-
Imo'
Physical Street Address (if assigned): ` L uS �, U ti
Applicant/Business Owner (Who should we call/write concerning this project?): bu yL V U(Ar l" j
Address L66 P s tip- a` City r—,k(y vl ((p State �� Zip —2a Id
Daytime Phone Gl i" T �3 Fax # , r 4-N E-mail C Q D (A iclte l C005 0,k .may
� � � o./
Owner of Record L r ` N �
Please fill out the followin¢:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑lsr 2n11 ❑ 3'd ❑ 4m
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)
LJ 12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
(See 184.15.8 - 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)
Property Owntffs / 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 184.15.8 - 184.15.14)
Dates you�,are requesting the sign to be in place.
2. 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.
P
Date
Date
OFFICE l MLY , L ` ,�
Fee amount $ Z[ J� Date PaidcR� Check �! By Who eceipt # By; Permit (!
County of Albemarle Department AgAMunity Deve opment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832Tax: (434) 972-4126
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