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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 .04 Ar ;)