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Home My WebLink AboutTS201600117 Application 2016-12-30Application for Temporary Sign Permit APPLICATION REQUIREMENTS: ® Temporary Sign Permit = $27 © A picture or sketch of sign showing dimensions and location of sign on property must be attached with this application. W Certification that notice of this application has been provided to the property owner, if owner is different from applicant. Name on Sign / Business Name: Martha Jefferson Family and Walk -In Care Location of Sign / Property: Above main suite entrance on South side of buildi Tax Map and Parcel: 076M 1 -00-00-00200 Zoning: PD-SC Physical Street Address (if assigned): 435 Merchant Walk Square, Suite 400, Charlottesville, VA 22902 Applicant/Business Owner (who should we call/write concerning this project?): Gropen, Inc; Tanya Rutherford Address 1144 East Market St Daytime Phone (434) 295-1924 Owner of Record Venture P Please rill out the followine: City Charlotteville State VA Zip 22902 Fax # 434-295-1926 E-mail tutherford@gropen.com What number permit is this for your business this year? meek one) (this will be verified by staff) 0 1st ❑ 2nd ❑ 3rd ❑ 4111 ❑ 5u1 ❑ 6th What type of temporary sign are you proposing? (check one) RIBANNER []PORTABLE ❑ A -FRAME Depending on the zoning district the maximum height of the sign will be (check one) 1112 feet if freestanding 17120 feet if on a wail 0 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 Depending on the zoning district the maximum size of the sign will be ❑ 24 square feet 0 32 square feet Dates you are requesting the sign to be in place. (op �through o" . I S , ( G 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 OFFICE US ONLY �O Fee amount S _ Date Paid I ZQ Check # 3 351�By Who? e-11'� Receipt # y: J I Permit # 1 MJ-11 I 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 1 of 1 C rA 3 m -1 N in �o OD .ZJO = C7 _W n W n O y 3- W 1 J y W (U ti A W z OD .�n1 -O N Oo N d W O D O y al G V Ci C2 -� N T O_ 6 d � O m W Z W d d o N .ZJ � o 0 n c� o o -v z o O � N M O O Z W D Z Z m v cD 3 CD c 2 o C= n co o n O �n O r m c- v v to p A Ems Q m �= �' -� A N <n GJ O Y TJ O N O fl> OG N < r y 3 oy W p o N � c') ➢� ti O o �FF co co _o � OEM i I