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TS201600092 Application 2016-12-09
Application for CR—, Temporary Sign Permit APPLICATION REQUIREMENTS: ©Temporary Sign Pcnnit = $27 A picture or sketch of sign showing dimensions and location of sign on property must be attached with this application. 0 Certification that notice of this application has been provided to the property owner, if owner is different froinapplicant. 1 L t. Name on Sign / Business Name: Nb w I�IFZt aG KC?4LS Location of Sign / Property: i'11JOIZ711 ELLVA rioo 3qb TDWNCC'FrT�L LA C—V►TIC' Tax Map and Parcel: 0? 100 — 00 - Do - OY2 Ocl 'Zoning: M C Physical Street Address (if assigned): 3 `� 6 T�w.vi[-N>2 lhrJ6 Cc-44-ic r7ts v; (ic t/ 4{ 2 c(t 1 Applicant/BusittessOwner(tviiuishuuidweimiitwriieconccminOlhispnejcc(?)t 14161- IZLIl S16AIS ! -0t,,✓6 S>L'tifL�, Address 21(,1- City &b+gle77r.;tti11e State VR Gip ZZKaI Daylimc Phone (,43w) 974/- 7gao X, 'Fax !I E-mail Vo✓c; S c 1+rS V-i .cO,-f �CrlCuoxvwC� Owner of Record Q KO �I}Ae1&—,7eSV;lIC ✓4 J& /J5G W J7ooD �;DGCwv�-� T.aIts ✓ Wt 5-35c 1 Please fill out file following: What number permit is this for your business this year? (check one) ([his will he verified by staff) ❑ 't ❑ 20d 0 I'd ❑ 41h ❑ 5th Elbih 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 he (check one) ❑ 12 feet if freestanding 20 feet if on a wall 0 30 feet if on a wall The required setback from public street right of way will he 5 feet Depending on the zoning district Ilfic maximum size of the sign twill Ixr ❑ 24 square feet 932 square feet Dates you . e requesting the sign to be in place. l l © L ' ) 6 Through_ When entering the dates above, please keep in mind the following Information: • Each perntit 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 revicty for each establishment at one tinic. • Please note that an establishment is not permitted more than sixty (60) days of Property Owner's / Agent's Signature pate Issued/Approved By Date OFFE U ;� I�,;V�)atei Pw attuICront S Thel Checkfl By Whd1 Rcccipl li y: � Permit H C� County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 0 I I/O2/2015 Page I of I Lr) 0 ZC6 LU uj _Q cn 2 U J 2 O O cn F- Z