HomeMy WebLinkAboutTS201600062 Application 2016-09-22Application for P Ifn<8t
Temporary Sign Permit
LICATIDN REQIIIRE NTS:
Temporary Sign Permit $25
❑ A picture or sketch of A Mowing dimensions and location of sign on property )crust be attached with
this application.
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from applicant,
Name on Sign / Business Name: - o i'/�� i� {� 11 UI o-F 41A ae!�
Location of Sign / Property: f.2 2 ! `t Z R d yy��
Tax Map and Parcel: A 6 A +7 1 - 0 d — honing:
Physical Street Address (if assigned):
a ,c
Applicant/Business Owner (who should we call(write concerning this project?): ! 3
Address 7_ 2 ! G i i 1�1i�'L City r State_ Zip`7
Daytime Phone /1V6- f g 916 Fax # E-trail
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)
❑let zed ❑ 3rd ❑ 41b ❑ Ss' ❑ 6th
What type of temporary sign are you proposing?
(check one)
[I BANNER LI PORTABL E ❑ A FRAME
Depending on the wooing district the maxim= height of the sign will be
(check one)
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
Owner's /.4 &nt's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
24 square feet ❑ 32 square feet
Dates you are requesting the sign to ^be in place.
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
ermitted more than sixty 60 days of
lb
Date
Date
OFFICE USE ONLY �n ���1 ��/�� -`Sj(p
Fee amount $ Date Paid `F� Check # Q73`i1 By Who? V ["rapt # By: _ Pm t #
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724125
4/21i/2012 Page 1 of 1
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