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HomeMy WebLinkAboutTS201600109 Application 2016-12-12Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS:
® Temporary Sign Permit = $27 b �,,t WCI.tY'i('� (Ll,� �, -Cud 'w0.'✓'�'
❑ A picture or sketch of sign showing dimensions and location of sign on property must be attached with
this application.
❑ Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: TOUS fot 7(
Location of Sign / Property: C1107� OA&S SA7
Tax Map and Parcel: OST l - 00 - O O - ocnocl zoning:�-
Physical Street Address (if assigned):3Z5 FQUa( L iLl Lyl. 1 15,t,{+L i 0, Cr%"JO't"•eSV j IIL 1 V K} Z2403
Applicant/Business Owner (Who should we call/write concerning this project?): C)(. �.(, n.A+,� 9-i CL
Address 325 F'7OlA,l( n+ Ln �SdL+L I CityCi(IOLI( ld+_ �5mly, State V14 zip ncl 03
Daytime Phone m--* !% Ll— 2 ZC1 Q Fax # V3- Z49 2. E-mail j nfP & UID Z dJ&Uh!0 . C ©FyI Zr
Owner of Record &U'MA C. C 11 "h.) @ dd p I 10 u,Ps • C %#V7
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
s, ❑ 2nd ❑ Yd ❑ 4m ❑ 5,h ❑ 6"'
What type of temporary sign are you proposing?
(check one)
MANNER []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 ❑ 30 feet if on a wall
The required setback from public street right of way will be
5 feet
Property Owner's / Agent's Signature
Issued/Approved By
OFFICE USE ONLY
Fee amount $ Date Paid Check # By Who?
CCf/ ff
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet )�l 32 square feet
Dates you are requesting the sign to be in place.
Oct • 5 through U( . M
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.
• Please note that an establishment is not
permitted more than sixty (60) days of
Date
-L)717z,
Date
Receipt # By: Permit #
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/02/2015 Page I of 1
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