HomeMy WebLinkAboutTS201600113 Application 2016-12-12Application for
T !Y • T • i 01,4,1111(
i emporary Soi n Permit
[:]Temporary Sign Permit = $27 3X
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign/ Business Name:
C
Location of Sign / Property:(;) 0_��� Cr
Tax Map and Parcel:
Physical Street Address (if assigned):
_ Zoning:
In rr n � � .�(A
Applicant/Business Owner (Whoa should we call/write concerning this project?):''
p: f
Address �0C'LI)t- �N 0 l lK Verity
Daytime Phone ( t�(U, ` ��tYi Fax #
Owner of Record
0
/ K State Zip—
E-mail
Co -Li
Please fill out the following:
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
(See 18-4.15.8 - 18-4.15.14)
1s� ❑ 2na ❑ Ya ❑ qm
Dates you are requesting the sign to be in place.
What type of temporary sign are you proposing?
(check one)
through
Q,dANNER [:]PORTABLE ❑ A -FRAME
When entering the dates above, please keep in mind the following
Depending on the zoning district the maximum height of the sign will be
information:
(check one)
Each permit for a temporary sign shall be valid for a period not to
❑ 12 feet if freestanding ❑ 20 feet if on a wall ( 0 feet if on a wall
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)
A maximum of two permits will be accepted for review for each
❑ 5 feet ❑ 10 feet
establishment at one time.
(See 18-4.15.8 - 18-4.15.14)
/C�,<I<G
Property Owner's / Agent's Signature
Date
Issued/Approved By Date
OFFICE USE ONLY
Fee amount $ (o Date Paid �i Check #CR>H By Who?�[D (dReceipt # y: Permit # _
County 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
U
Ir I
I
p >