HomeMy WebLinkAboutTS201600114 Application 2016-12-12Application for
-temporary Sign Permit
❑ Temporary Sign Permit = $27 X
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name:
Location of Sign / Pro
Tax Map and Parcel:
Physical Street Addre
Applicant/Business Owner (Who should we call/write conceming this project?)
city r t f�
Address ty �_ State Zip
Daytime Phone �'� �� " �;� ���� Fax # E-mail
Owner of Record "C13L�
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑ 15t 0'2'd ❑ 3" ❑ 4ch
What type of temporary sign are you proposing?
�� (check one)
f� BANNER [:]PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one) �
El12 feet if freestanding El�
20 feet if on a wall � 30 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 - 184.15jA1 --_-,
Property Owner's / Agent's Signature
Issued/Approved By
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)
f '} Dates you are requesting the sign to be in place.
t (X through
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.
Date
Date
MA,
OFFICE USE ONLY `` j� ` `C
Fee amount $ all Date Paid t U ' Check # �� � By Who? 1 11 � � � eceipt # I t l����y:._( Permit # �.
Coufity of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of 1
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