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Planning Application . 1
PARtErrOWNER INFORMATION
TMP 03200-00-00-041GO
Ownerl:S.): MAUPIN, KENNETH G &LINDA M
Application st AR8201600100
iPROPERTY INFORMATION
Legal Description ACREAGE 3
WaTSteMal Orrl. Rio 11 Land Use Primary Commercial ' 1
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Current L.FD Not in A/F District 171 current Zorollg Prtimary Cl Commercial
APPLICATION INFORMATION I
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ddre - 13820 AIRPORT RD CHARLOTTESVILLE, 22811 Entered S‘ii
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r nnifer Smith i•iii i
9ciPlii:ru-00 Tiiille Architectural Review Board • ......
18,'9:2016
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Proia:1 Envirosmarte
Redizeied Date i 08/08/16 I Receried t)ate Final ET Submittal Date L08/08/16 I Total Feee i
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I Tntal Paid I
010$ing cile Date 1"-- ...j Submittal Daze Email
Reieleiin Number
Comments 1,
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Legal ed 1 ,
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SUB APPLICATION(s)
SIGN . 08/08/16
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APPLICANT / CONTACT INFORMATION
Fic2r14,2jTjp,si Warne 7 Address 1,,, city.§,t,Ate,,,,,,,_ _ DI?, phonc- ..
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/..4N-NSTI4 i'S S LIND4 ril .1,974 PurCHETT LN CHeRLOTTESULL- :3'911
:7'797z BRION DRAPER 407 E4PHART ST- SUIT'S 4 CHIFLLOTTESVILL l22903 •4349717444
AMERICL4N M4DE SIGNS 407 E4RHART ST, SUTTE 4, .t1:614930TTESLILL '22903 4349717446
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Signature of Contractor or Authorized Agent Date
Application and Checklist for Sign Permit
APolte
Part A: Applicant and y.MParcceel Information p
Project Name: iM :vgt�-. Address: i 92 o Aj gf0�t
Tax map and parcel(s): O 31oo.- 00 00 -d y/FO Zoning: L -vilft/:(i``!
Contact Person(Who should we call/write concerning this project?): th lQ'A/ (7,a, '/
Address 7O 7 E Ah.I t S't: 5,-4 C�c't.Y t /J City (1) //ej e State y:+'¢ Zip a•2'
Daytime Phone('7t P/) 9 72~ 7y44 Fax#( ) E-mail ex,*e / ez.fCkditkaef .,.,>; fO•a
Owner of Record:/, N � Lrvgi Mct 1f;A/ 'A
Address 3�.7�1 /�Ct�� {� `d' City CLd.r'tetrcfh�l« State itA Zip 2 `1(/
Daytime Phone( ) Fax#( ) E-mail
Contractor Name/Business Name: AM�'�t
//GGl/t1 mak ii9v.,‘
'7to/' ta��d/ Sf, >N:7 City �4 �i,7`fz'fh�llt' State Zip
Address ��jj
Daytime Phone('f ')'7 7/'" 7y76 Fax#( ) E-mail Stlief0Aef'!<404414Iefifi);644
Part B: Determining application requirements and fees
1. Sign Permit—Please indicate which sign type you are applying for:
❑ Freestanding or Monument Sign: $91.64
❑ If a footing is required,an additional fee is required: $32.64
® Wall Sign(Including property,awning fuel pump canopy signs): $91.64
❑ Sign Refacing: $59.00
2. Electrical Permit—Will the sign be illuminated?
Yes (Illuminated signs require an electrical permit and an electrical schematic.) $48.96
❑ No $ 0.00
3. ARB Review—Will the permanent sign(s)be constructed in an Entrance Corridor?
(See the Entrance Corridor map in the Sign Permit Application packet for a list of Entrance Corridors.)
❑ Yes (This sign will be constructed in an Entrance Corridor and it does not meet the conditions of a $129.00
Comprehensive Sign Review: See ARB requirements next pages.)
g] Yes (This sign will be constructed in an Entrance Corridor and it does meet the conditions of a Waive Fee
Comprehensive Sign Review. See ARB requirements next pages.)
❑ No (This sign will not be constructed in an Entrance Corridor) $0.00
FEE TOTAL(Please add all the amounts checked insections1—3): yr,, $ I 0 llt+�'
FOR OFFICE USE/ONLY BP# OCC) VJ l 3 )S ". Amada(`p ICO
L O Date Paid t W I rJ�ts 41 ,,ff Jr
Fee Amount$ � By who? JJJ Receipt# ���3 Check# �'�'"ts By
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax: (434)972-4126
11/1/2015 Page 1 of 4
A. Work Valuation $ jc)U
Part D: Applicant Agreement
Applicant must read and sign
• Each application package must contain 4 folded copies of all plans and documents being submitted. Only 1 set of
material/color samples is required. All submittal items become the property of Albemarle County. Applicants are
encouraged to maintain duplicate copies in their own files.
• The application package is not complete without this checklist,completed,signed,and included with the required
submittal materials indicated on the checklist.
I hereby certify that the information provided on this application and accompanying information is accurate, true and
correct to the best of my knowledge and belief and contains all information required by these checklists
"4, O 7/6//6
Signature of person completing checklist Date
Bpi p of/- /cove 3Y—q 7/ 7Wy
Printed Name/Title Daytime phone number of Signatory
County of Albemarle Department of Community Development
401 McIntire Road,North Wing,Charlottesville,VA 22902-4596
(434)296-5832 Tel,(434)972-4126 Fax
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11/1/2015 Page 4 of 4
Sign Diagrams
•
A
1--- Sign Dimensions
Sign 4--- Sign Dimensions
Height Sign
Height
Distance to property line ►
or edge of right-of-way Distance to property line
or edge of right-of-way
Sign Height=
Sign Height=
Sign Dimensions=
Sign Dimensions=
Pole-Mounted Sign—Diagram 1
(Generally not acceptable in the ECs) Monument Sign—Diagram 2
A
Sign Sign Dimensions
Height
4 ►
Building Frontage
C� f�
Building Frontage, c
= ✓ 41iC;fit ��//f f 7'✓1 c19.4i
7r
Sign Height= 'I /72/"/�
Sign Dimensions= 1 7,3-1' /g -"
Wall Sign—Diagram 3
If multiple wall signs are proposed, list dimensions here:
Sign 2 Height= I S Sign 4 Height=
Sign 2 Dimensions= 1 7" X 3"O1/ Sign 4 Dimensions=
Sign 3 Height= Sign 5 Height=
Sign 3 Dimensions= Sign 5 Dimensions=
Sign Diagrams revised 7/2009— 1
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications(Home Occupation,Zoning Clearance,Zoning
Administrator Determinations or Appeals,Sign Permits,Building Permits)if the application is not the
owner.
I certify that notice of the application, L/" V, 1"dS•''1° lA-
[County application name and number]
was provided to k'fin1 e ti' `ir i - M{4th the owner of record of Tax Map
[name(s)of the record owners of the parcel]
and Parcel Number QLoo Do ' by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person;if the owner of record is an entity,identify the recipient of the record and the recipient's
title or office for that entity]
on
Date l
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