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HomeMy WebLinkAboutTS201600118 Application 2016-12-30Application for Temporary Sign Permit APPLICATION REQUIREMENTS: 0 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 bu Tax Map and Parcel: 076M1-00-00-00200 Zoning: PD-SC Physical Street Address (if assigned): 435 Merchant Walk Square, Suite 400, Charlottesville, VA 22902 Applicant/Business Owner (bVho 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 Please fill out the followinn_: 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? (check on (th' will be verified by staff) 5Klst 2n ❑ 3rd ❑ 4111 ❑ Sth El 6th What type of temporary sign are you proposing? (check one) VIBANNER ❑ PORTABLE ❑ A -FRAME Depending on the zoning district the maximum height of the sign will be (check one) 17112 feet if freestanding ❑ 20 feet if on a wall Z 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 W 32 square feet ^^.- -- Dates you are requesting the sign to be in place. a I (p through V-t&. 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 petwits 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 US4.9NLY I7 ,,,,,,,,,�� L� Fee amount $ Date Paid Z 1 Check # 17 51 �i3y Wlto? �►vtV�iYi Receipt # in Z� LBy: I_ Permit #� County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 1 1 /02/20 t 5 Page l of I Y ONE ` w�OH¢o 3 vPm E M3: amti k G J � ¢ z � ¢ w Q uj � w � z w � Z � Z U m � LLLJ Z Q 2E O � N � ZOc� J ~ � O d C Cl Z c Z co'O ¢ C5 Z O O N II C7 _ Z_ O cn s O � N N H w O C 0= W Z Z N Y s: a o O �_ w t0 N Ol O O. N N O CV m d r m o tp N A >. ¢ Z O p, o.E E �O� o <n ,o z . : _ E ao-c� � ��� — � o_mU � . a N LLJ N C) (D U C) C O E N U to d W Z Z Q m W Z o C Cn C C7 0 Z_ Z 0 U cn