HomeMy WebLinkAboutTS201600110 Application 2016-12-09Application 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.
[9 Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: P#11 46I i i74eeAPy,
Location of Sign / Property: Fed*JTyF 9jd r>lw4
Tax Map and Parcel: 0 76 M 1 - on - Do - ool oo Zoning: S C
Physical Street Address (if assigned): Zsb PI p bioruf VIA tk, <WC
Applicant/Business Owner (who should we call/write concerning this project?): /'j 1 V lt'IL51 h S16 Ns wrinIt 1>ou6 *rmw -
Address Z1G5� 56141,0ojE rveil City L'rff@Klo7�l+,r/lE State VA Zip Uioi
Daytime Phone ( ) 9'I1(-7QOo Klvs Fax # q 11- 6%15 E-mail
Owner of Record STH S7-9-m' 57-A?7uN i/&u7tra.&s LL C-
Please till out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Nlla OkIW ❑ 3rd ❑ 41h ❑ 51h ❑ 6th
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 b420 feet if on a wall ❑ 30 feet if on a wall
The required setback from public street right of way will be
5 feet
Property Owner's / Agent's Signature
Issued/Approved By
dui L� Ca 475VA .eort
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet )§J2 square feet
Dates you are requesting the sign to be in lace.
Z / L throw h
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
pcmtiis 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
11/7-6 /6
Date
Date
OFFICE $ E 0 JLY
Fee amount Date Paid l 6 C'hock # G�Zby who? 7 % G Receipt N 3 4: �'rnnit Y 1J
County of Albemarle Department of Communlq, Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
1110212015 Page 1 of I
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