HomeMy WebLinkAboutTS201600063 Application 2016-09-22NA
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Application for 1 "
Temporary Sign Permit
[Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name: Q � UU( _S &v, ou r
Location of Sign / Property:
Tax Map and Parcel:U C /`L� Zoning:
Physical Street Address (if assigned): 14&s l,t'U rtt, ea<,
f, - 2
Applicant/Business Owner (Who should we call/write concerning this project?):�d
Address �5P 6 {� City State Zip _2001
Daytime Phone IpSq Fax 4 q�W E-mail C U61G1t' y_-�(F C(ap$ e, .1_% or
Owner of Record J
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Dist ❑ 2nd V3- ❑ 4m
What type of temporary sign are you proposing?
(check one)
l� BANNER
❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
C 12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
(See 184.15.8 - 18-4.I5.14)
Depending on the zoning district the required
setback from public street right of way will be
(check are)
❑ 5 feet 10 feet
(See 184.15.8 - 18-4,15.14)
Depending on the zoning district the maximum size of the sign will be
(check one)
LVJ 24 square feet . ❑ 32 square feet
(See 18-4.15.8 - 18-4.15.14)
Dates you are requesting the sign to be in place.
` �, 5 ULP 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.
Property Ow is / Agent's Signature Ad au ia 5tqr-2-f y' Date
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Issued/Approved By Date
OFFICE USE ONLY t7c+2�At;lcxc
Fee amount $ '7 !L Date Paid 2'.2A-& Check QS1115 By Who? C4hL9C if orReceipt # ?� 16 By: Permit # !Jo
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
413
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