HomeMy WebLinkAboutTS201600103 Application 2016-12-09Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
64 Temporary Sign Permit = $27
W1 A picture or sketch of sign showing dimensions and location of sign on property must be attached with
this application.
W] 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
Tag Map and Parcel: 45-68C1
Zoning:
Physical Street Address (if assigned): 260 S. Pantops Dr, Charlottesville, VA
Applicant/Business Owner (who should we call/write concerning this project?): SCQtt
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)
41St ❑ 2nd X`d ❑ 4th ❑ 5m ❑ 6's
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
Issued/Approved By
OFFICE USE ONLY
Fee amount $ Date Paid
By Who? -
Depending on the zoning district the maximum size of the sign will be
9124 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
11/23/16
through 12/8/16
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
Receipt #
Date
Date
By: Permit # �_
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
11/012015 Pawn 1 of 1
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