HomeMy WebLinkAboutTS201600086 Application 2016-10-26Application for
Temporary Sign Permit
0
APPLICATION REQUIREMENTS:
❑ 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.
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Name on Sign / Business Name:
Location of Sign / Property: PY9 I Mi We*s V 1*11 VA
Tax Map and Parcel:
Physical Street Address (if assigned):
Zoning:
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Applicant/Business Owner (Who should we call. write concerning this project'?):
Address SNO
EAAg
ii City Ql ►weyi I CC.-, State VA. zip
Daytime Phone (.14N 01-43--N-43 Fax #
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)
❑1s1 ❑ 2nd ❑ 3nt %L4t11 ❑ 5" ❑ 6th
What type of temporary sign are you proposing?
(check one)
P(PANNER ❑ 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
S !feet)
Owner's /
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet gL32 square feet
Dates you are requesting the sign to be in place.
through FC aol(g
When entering the dates above, please keep in mind the following
information:
• Each pen -nit 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
Z2
Date
Date
OFFICE USE ONLY -k � 1
Fee amount $ a� Date Paid i Check # 05 13y who? t ' Receipt # lD weA_ 13v: JP_ Permit # TS i
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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