HomeMy WebLinkAboutTS201600115 Application 2016-12-12Application for
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-temporary -Sign Permit 3❑ Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name:
Location of Sign /
Tax Map and Parcel: �� D Zon
Physical Street Address (if assigned): C�D!) Ua "L/ld-
Applicant[Business Owner (Who should
we call/write concerning this
project?):
Address Q)5 t � 1 mot W+ 1 V l L I l fyCcity C, - I
Daytime Phone W A � - W4q Fax # E-mail
Owner of Record
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑1st ❑ 2ad 23- ❑ 4m
What type of temporary sign are you proposing?
(check one)
E34ANNER [—]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 Hsu feet if on a wall
(See 18-4.15.8 - 18-4.15.14)
Depending on the zoning district the required
setback from public street right of way will be
(check one)
❑ 5 feet ❑ 10 feet
(See 18-4.15.8 - 18-4.15.14)
Property Owner's / Agent's Signature
Issued/Approved By
State V�_ Zip
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Depending on the zoning district the maximum size of the sign will be
(check one)
❑ 24 square feet ❑ 32 square feet
(See 18-4.15.8 - 18-4.15.14)
Date you are requesting the sign to be in place.
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_through
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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.
6//b
Date
/ 2-/7bA
Date
OFFICE USE ONLY 4AE
Fee amount $ ��Date Paid Check # By Who? ' Receipt # _ By: Permit #! �
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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