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HomeMy WebLinkAboutTS201600130 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. ❑ Certification that notice of this application has been provided to the property owner, if owner is different from applicant. Name on Sign / Business Name: Peace Lutheran Church Location of Sign / Property: 1510 Broad Crossing Road Tax Map and Parcel: Physical Street Address (if assigned): 1510 Broad Crossing Road Zoning: Applicant/Business Owner (who should we call/write concerning this project?): Teresa Cooper, parish administrator Address 1510 Broad Crossinq Road Daytime Phone (434 ) 9784357 Fax # Owner of Record Peace Lutheran Church Please fill out the followint=: What number permit is this for your business this year? (check one) (this will be verified by staff) El lit ❑ 20a ❑ 3rd 0 4a, ❑ 51h ❑ 61h 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) ® 12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall The required setback from pubiie strret .fight of wj1 � ,All be 5 feet City Charlottesville State VA Zip 22911 E-mail plchurchcville@gmail.com Depending on the zoning district the maximum size of the sign will be 2124 square feet ❑ 32 square feet Dates you are requesting the sign to be in place. dec 15, 2016 throughdec 25, 2016 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 siens in a calendar vPar_ Property Owns / Agent's Signature Date Issued/Approved By Date OFFICE U ONLY Fee amount $ Date Paid �S Check # By Who? Receipt # &� s a� Permit #TS.2bt,6 2 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 x = z ° oCL 0 3 rD w 0-