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TS201600090 Application 2016-10-28
Application for Temporary Sign Permit A) PLICATION REQUIREMENTS: a Temporary Sign Permit = $27 QUA 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: Location of Sign / Property: > r°'-i h it 1 Cho e 1 resc., , )u- 40 72W 5Ec Tam Tax Map and Parcel: 0 Q100"®Q —Z-"d 1/,4U Zoning: ' l Physical Street Address (if assigned): Jr700 _3);C-KL-i25CKJ :E Applicant/Business Owner (Who should we call/write coonncceerning this project?): Nj Of --Ur1 Address 5l 1O Di C} 6C Y) W • City01)�2rlcg&lk.State Va . Zip QQ_q I , Daytime Phone (qA C1A- I SLpC) Fax # —E-mailcL -mail da AGDo nar yr Owner of Record / VIJrT�n ��� 0_om 1Lm&y C )Llcclr) Please fill out the following: Depending on the zoning district the maximum size of the sign will be What number permit is this for your business this year? (check one) (this will be verified by staff) ❑J:t d2nd El3rd El4th ❑ 5th ❑ 6tn 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) V2 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 / Agent's Issued/Approved By ❑ 24 square feet ❑ 32 square feet Dates you are requesting the sign to be in place. i p ` 1 (P through 11 —IQ _/ l© 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 _`l_ Date OFFICE USE ONLY n Fee amount $ ag a° Date Paid Check # ay5 By Who? AteTrd yet DGE Receipt # O2G By: Permit c>f cr- qD 7 A4,4zgrc03E County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 11/02/2015 Page 1 of 1 N m co s- 0 a_ z M 0 o. r w N L CL L on 4J L O IA Z a CA— R o a w A N N i a � i1 1 A m w i N i N .a i N VIED cnrx j IQ s to 4 m s N � , 01 ti + rs'Q spa"' w 71 N fJ1- 3 o SFMi ��9 A NOLF�T�i � N N (LI) i to �T (AQ N i 7 � •� 'i _Ni � N G $RANDw w EF O � L] a � O � O N Ln 0 0 v CD N � zD j -4 'Zapov �.❑ mma z Cr o g R>88a€U PqP D HI M y�(fl om' 7� j s z = Q. z Y x 3 3 3