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TS201600125 Application 2016-12-30
Application 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. ❑ Certification that notice of this application has been provided to the property owner, if owner is different from applicant. Name on Sign / Business Name: L ��1�� �►'L►c J /lip, Location of Sign / Property: Su a � L �1-6j E , J E --, r Tax Map and Parcel: I ►fX MAP P i 9 P 1qPC_C.. L 55A7) Zoning: ,� YA,e— Physical Street Address (if assigned): I L_1 1 6- (Rd I h, , �' �� - Sv-J-- I r-- t+ Applicant/Business Owner (Who should we call/write concerning this project?): 2 1 �2�r Address 1q.5 R i v � 6 �c1 'i) v Cityaa-r' lb�5S ,11 State %/ Zip Daytime Phone ( l - I9/ Fax # 0�9 �5 J E-mail ey�Cy + rq; n ; lc����Com�c�ny co It Owner of Record L.ux© i2 L LC-- / Please fill out the followine: What number permit is this for your business this year? (check one) (this will be verified by staff) dst ❑ 2nd ❑ 3rd ❑ 4th ❑ 5th ❑ 6th What type of temporary sign are you proposing? (check one) 2BANNER ❑ PORTABLE ❑ A -FRAME Depending on the zoning district the maximum height of the sign will be (check one) ❑ 12 feet if freestanding 520 feet if on a wall ❑ 30 feet if on a wall The required setback from public street right of way will be 5 feet Depending on the zoning district the maximum size of the sign will be ❑ 24 square feet [T32 square feet Dates you are requesting the sign to be in place. el c , ( othrough J a .-2c,17 14)4 Ift. - 31 I(1 01tmlri Irl I� 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 temporary signs in a calendar year. ner's / gent' Signature Date / Approved By /Z//L jZ ate !/ .1 it OFFICE US ONLY UV ` Fee amount $ % — Date Paid Z Check # (� By Who. (ilk Receipt # 01453 By:�Permit !� County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 11/02/2015 Page 1 of I mj: z 77t�, pi ®I LM