HomeMy WebLinkAboutTS201600060 Application 2016-09-22Application for
Temporary Sign permit
APPLICATION REQUIREMENTS: .
W 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 applicant.
Name on Sign / Business Name: Peace Lutheran Church
Location of Sign / Property: 1510 Broad Crossing Road, Charlottesville, 22911
Tax Map and Parcel:
Zoning:
Physical Street Address (if assigned): 1510 Broad Crossing Road, comer of Rt 29 north and N. Holl mead Dr.
Applicant/Business Owner (Who should we call/write concerning this project?): Teresa Cooper
Address 1510 Broad Crossing Road
Daytime Phone 4( 34) 9784357 Fax #
Owner of Record Peace Lutheran Church
Please fill out the followim.
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑1st ❑ 2nd Z 3ra ❑ 4th ❑ 5th ❑ 6m
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)
® 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
City Charlottesvillve
State VA Zip 22911
E-mail plchurchcville@gmail.com
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.
July 31 through August 13
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 sixty (60) days of
a� it � 7/251 6
roperty Owner's `Agent's Signature Date
Issued/Approved By Date
OFFICE USE ONLY /
Fee amount $ % OCR Date Paid Check # � By Who? Receipt # �VJ59 �l By:� Permit # �t� �0
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax. (434) 972-4126
11/02/2015 Page 1 of 1
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