HomeMy WebLinkAboutTS201600087 Application 2016-10-26Application for
Temporary Sign Permit
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.
Name on Sign / Business Name: ri ru
Location of Sign / Property: I/+ VA
Tax Map and Parcel: Zoning:
Physical Street Address (if assigned):
Applicant/Business Owner (Who should we call, wite concerning this project'?): L
Address �(�s IVI;i l i 1R�(.. city 01 rkos vi I lZ State Zip 2VIO
Daytime Phone 0N_) q'-3--+'4T!) Fax # E-mail 0(rice tz *!jg0 I I �s`st-
Owner of Record Sri rs iii 11 Ad
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑is[ ❑ 2°a ❑ 3"`� �4th th ❑ 6ch
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)
a12 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
1-1
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.
DEUP&k/1 `t' �I through
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
temnorary signs in a calendar vear.
Property Owner'(/ A nt's Signature Date
Issued/Approved By Date
OFFICE USE ONLY 13,,&44or /1 f r p d
Fee am_ount $ 2L)Q Date Paid ] Check # 3� � By who? 36V (yaw 4)f C Receipt # [� 4-5 1 By: J 4 Permit #—_ J! j ' D
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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