HomeMy WebLinkAboutTS201600116 Application 2016-12-12Application for
Temporary Sign Permit
❑ Temporary Sign Permit = $27
3>(
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name:
Location of Sign / Property: % 2, 5 JMC _ t-(_k _r1c J VLw Nib C,,C,ACAA lc= y m Q �c
Tax Map and Parcel: ay _ 55 � : Zoning: PD `AAAu
Physical Street Address (if assigned): 2 2 Cj MeAcs , L_, `�Ic ' II
Applicant/Business Owner (Who should we call/writo concerning this project?):
Address ZZ �� � `� City (L� A %- y r State V"_� Zip
Daytime Phone (5'�) 2-0 Z 4 Z 4- _ Fax It
Owner of Record
E-mail p� nG
� O l7 � � y lS i� U �: C1� �(� � � �4� C.�. (CrM
Please fill out the followins:
Depending on the zoning district the maximum size of the sign will be
What number permit is this for your business this year?
(check one)
(check one) (this will be verified by staff)
❑ 24 square feet ❑ 32 square feet
❑Ist ❑ 2nd ❑ 3rd ❑ 4d'
(See 18-4.15.8 - 18-4.15.14)
Dates you are requesting the sign to be in place.
What typetemporary of ?
p ary sign are you proposing.
'
(check one)
_ .1216(; through 1 Z �
(21BAIVNE1t ❑PORTABLE ❑ A -FRAME
When entering the dates above, please keep in mind the following
Depending on the zoning district the maximum height ofthe sign will he
information:
(check one)
❑ 12 feet if freestanding ❑ 20 feet if on a wall [�'30 feet if on a wall
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.
(See 18-4.15.8 - 18-4.15.14)
The Ordinance requires the sign to come down between permits and
Depending on the zoning district the required
will be approved on -site by a Code Enforcement Officer during
setback from public street right of way will be
regular business hours only.
(check one)
❑ 5 feet ❑ 10 feet
A maximum of two permits will be accepted for review for each
establishment at one time.
(See 184.15.8 - 18-4.15.14)
Property Owner's / Agent's Signature Date
Issued/Approved By Date
r
OFFICE USE ONLY {/�`
Fee amount � i Date Paid �V Check #CLl St L_ By Who?
l
l � Receipt # U CSY':��Z_ _._ Permit tl 1
County of Albemarle Department f Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4I26
11/1/2015 Page 1 of 1