HomeMy WebLinkAboutTS201600123 Application 2016-12-30Application for
Temporary Sign Permit
0
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.
Z Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Name on Sign / Business Name: PJ Networks
Location of Sign / Property: 2340 Commonwealth Drive
Tax Map and Parcel: 061 WO-01-OA-009BO
Zoning: C 1
Physical Street Address (if assigned): 2340 Commonwealth Drive, Charlottesville, VA 22901
Applicant/Business Owner (Who should we call/write concerning this project?): Phil Jaderbo
Address 2340 Commonwealth Drive, Suite 10
Daytime Phone 4( 34) 975-0122
Owner of Record PMJB Land Trust
Please fill out the followine:
City Charlottesville
State VA Zip 22901
Fax # 434-566-0206 E-mail Phil@pj-networks.com
What number permit is this for your business this year?
(check one) (this will be verified by staff)
21st ❑ 2nd ❑ 3rd ❑ 4th ❑ 5th ❑ 6th
What type of temporary sign are you proposing?
(check one)
m BANNER ❑ 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
/ Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
® 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
12/12/2016 through 1 /:17/2016
A�
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
Date
OFFICE U�E ONLY /
Fee amount $ Date Paid ' /L Check # -.;�/ / By Who? YJ Receipt # ���'�) / By: . C Permit
/ V3
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
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application, Application for Temporary Sign Permit
[County application name and number]
was provided to PMJB Land Trust
[name(s) of the record owners of the parcel]
and Parcel Number 061 WO-01-OA-009B0
manner identified below:
X
the owner of record of Tax Map
by delivering a copy of the application in the
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
J'�Mailing a copy of the application to PMJB Land Trust cbSue Albrecht, Trustee
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 12/7/2016
Date
to the following address:
sue@designenvirons.com
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Si naturoPApplicant
Kelly Jaderborg, Office Manager
Print Applicant Name
12/7/2016
Date