HomeMy WebLinkAboutTS201600111 Application 2016-12-12Application for
Temporary Sian Permit
0
Q Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name: (� C,�IT j UU i Syl vt
Location of Sign / Property: _ /I G K t o ct , -ti ( , z� `ed -
Tax Map and Parcel: ��l "l� � _ Zoning:
ff r
Physical Street Address (if assigned):
�—-Z
Applicant/Business Owner (Who should we call/write concerning this project?)
Address / City 01,yw( Zip _2ayd
Daytime Phone 111-3(3 S e '2Fax # _ `^ E-mail C �J CG:Ar iC,L
Owner of Record O�Lc-k-6 C- L
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
4"
1 st El 2 nd EJ 3,d
What type of temporary sign are you proposing?
(check one)
L1 BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
LJ 12 feet if freestanding ❑ 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 - 18-4.15.14)
Property O er's / Agent's Signat re
Depending on the zoning district the maximum size of the sign will be
� (check one)
9'24 square feet ❑ 32 square feet
(See 18-4.15.8 - 18-4.15.14)
Dates you are requesting the sign to be in place.
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.
L1 %.,_ /
i
Date
71
Issued/Approved By Date
OFFICE UY
Fee amount $ Date Paid Check # ' S� By Whop �� Rec� V yi �j _permit # '11<-)
Cou of Albemarle Department of Co` '�u 1 evelopment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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