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TS201600104 Application 2016-12-09
Application 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: Boy Scouts Location of Sign / Property: Med Express Tax Map and Parcel: 45-68C1 Zoning: Physical Street Address (if assigned): 260 S. Pantops Dr, Charlottesville, VA Applicant/Business Owner (Who should ew call/wite concerning this project?): Scoff Lan Address 1545 Shady Forest Way City Charlottesville State VA Zip 22901 Daytime Phone (434) 964-0880 Fax # 434-234-0241 E-mail scott.lancey@scouting.org Owner of Record Stonewall Jackson Area Council Inc, Please fill out the following: Scouts of America What number permit is this for your business this year? (check one) (this will be verified by staff) ❑1st 4 2nd `d ❑ 49h ❑ 5th ❑ 6m 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 ❑ 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 Property Owner's / Issued/Approved By 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. 12/9/16 through 12Y /16 23 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 Date Date OFFICE USE ONLY Fee amount $ Date Paid By Who? Receipt # By: Permit 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 Jo puagJDA18 J(3 puagjaAid - Ja puac co ns? �. n W C � P { f CJ 0 ! �v -a t c w 9 � ay -(D ..ti co (D - ; Cn t LL ¢ Id C Q CL (©j ui i F S 0