HomeMy WebLinkAboutTS201600108 Application 2016-12-09Application 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.
Name on Sign / Business Name: A I,VA QH CWE L W CO2-1D-TT6S \mLLr—
Location of Sign / Property:
vNScT A oO L\fNAHBvl2C,
Tax Map and Parcel: 0100o - 00 -00 - 0 5 i B O Zoning: ,1 10
Physical Street Address (if assigned): l ZS Sy N Sti ` AV C E r` ^1 - C RPNk-L0_XT6SV l GL , VA, M 0 3
Owner (Who should we call/write concerning this project?): CV\ X D M \1 4 IZ-6-
dress 12�D 'i Sv N56T Arc; GXr_City C�4kLO!T5VIU State zip 21-'o 3
Daytime Phone ( Fax # E-mail CCL V % ki e -y4'0 (? cj fMG' 1 . C01V\_
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Owner of Record CCL \i AA \J CAW r L 61- C %�- 10_T T(.5 It ULC
Please fill out the followine:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑V ❑ 2nd ❑ 3rd X4th ❑ 5th ❑ 6'"
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)
X12 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
Property
Issued/Approved By
5 feet
s Signature
Depending on the zoning district the maximum size of the sign will be
X24 square feet ❑ 32 square feet
Datesyouare requesting the sign to be in place.
12- I-- I U through 1 Z- 2 T- t
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
! -t
Date
Date
OFFICE U E 0, ICY \
Fee amount �`� Date Paid eck # By Who C # IL Y: Permit # \�
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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