HomeMy WebLinkAboutTS201600079 Application 2016-10-26Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
[i] Temporary Sign Permit = $27
A picture or stretch of sign showing dimensions and location of sign on property must he attached with
this application.
U Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: No W RyE4 NG
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Location of Sign / Property: luo&m 8LEyptri0o V)11tf'
Tax Map and Parcel: _12?2 00 00 00 0 q4 O4) Zoning: r D m C
Physical Street Address (if assigned): 3-16 'T,-wvlrNnlrM L4tC 72 tj
Applicant/Business Owner (who should we utii/write concerning this proica?): 14) 6FP1-c- i4 s/ly�l I)p L,G S7t-"MLC�
Address 21 G 1- LC 7TA, City Cry 10-7FCV, /1 a State V14, Zip 01
Daytime Phone �)
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E-mail
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Owner of Record
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Please fill out the followine:
What number permit is this for your business this year?
(check one) ((tt-his will be verified by staff)
I ' 51 fVi 2nd ❑ 3rd ❑ 4111 ❑ $Ih ❑ Wh
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 0!�20 feet if on a wall ❑ 30 feet if on a wall
The required setback from public street right of way will he
5 feet
01
Property Owner's / Agent'sSilma'ture
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet 932 square feet
Dates you are requesting the sign to be in place.
through 70 %10 x7 _
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 six 60 days of
-6uS Wee I j
Date
OFFICE UY
Fee amount 5 :. 0 Date Paid Check 4 _Q1gi By WhOk-la�h&qA*
c eipt #
[3y:
Permit #
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 2965832 Fax: (434) 972-4126
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