HomeMy WebLinkAboutTS201600094 Application 2016-12-30Application for
Temporary SiLyn Permit
X Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name: Ci N
Location of Sign / Property': �` ^� ^��
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Tax Map and Parcel: I "` �a CC)Zoning:?1 CwV1,Z � J)VC
Physical Street Address (if assigned): f;o- �� c- 6 %r� Q
Applicant/Business Owner (Who should we call/write concern�ingg this project?): � r ��s�e—lf
Address Z�y�j colon,« I�Ve- STD_ T' City � , i13t1;P State zipZIiO
Daytime Phone ( ) 6- �LTj1c Fax # E-mail Q�; ;l_ Ft) � n kit il e �. CnnJ
Owner of Record 84 ASL
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
JCIS' ❑ 2nd ❑ Yd ❑ 4th
What type of temporary sign are you proposing?
(check one)
(K 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 OK30 feet if on a wall
(See 18-4.15.8 - 18-4.15.14)
Depending on the zoning district the required
setback from public street right of way will be
(check one)
❑ 5 feet 5( 10 feet
(See 18-4.15.8 - 18-4.15.14)
Depending on the zoning district the maximum size of the sign will be
(check one)
❑ 24 square feet ❑ 32 square feet
(See 18-4.15.8 - 18-4.15.14)
y jDates you are requesting the sign to be in place. ( �j
through
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.
Prot` -Owner's / Agent's Signature Date
Issued/Approved By ate
OFFICE USE ONLY (�
Fee amount $LDate Paid 1 heck #� By Who. ✓ 1 Receipt # `� r" y: Permit #
Couno of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page I of 1
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