HomeMy WebLinkAboutTS201600127 Application 2016-12-30Application for
Temporary Sign Permit
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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:
Location of Sign / Property: n orb D idr- J-SUn Pd C Y1 rlo Ill.e ypt ou
Tax Map and Parcel: �? / __ //A L Zoning: Al Ilnna
Physical Street Address (if assigned): _�I0o 1�tckcrao-1 Id c'ZarLefteyil(Q A f ;611
Applicant/Business Owner (Who should we call/write concerning this project?): �Rm M U S ky
Address 1041P '9 hW W 1 / RJ City Cho 461461( 1 L - State r� zip
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Daytime Phone �1 *!Q� - Sb M Fax # Nll4 L /E�maiil,�j'u'�5� u C rz�i�� µlb
Owner of Record r�ri d ( CO t11�11h1�'i(� l.� l �' �-' 1
Please fill out the followine:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
MJ St ❑ 2nd ❑ 3rd ❑ 4th ❑ 5th ❑ 6th
de —
What type of temporary sign are you proposing?
(check one)
BANNER ❑ PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
�I2 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
Depending on the zoning district the maximum size of the sign will be
e 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
1 A ll it / 90 through slam /l �
When entering the dates above, plea.9e 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
«/ rsl
Property Owner' / Agent's Signature , _ Date
I
Issued/Approved By
Date
OFFICE USE ONLY +n S
Fee amount s�7 [� Date Paid a Check # 5d 33 By Who. 0 eceipt # O1533 By:.� lj" Permit # Z�0 12,1
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 1
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