HomeMy WebLinkAboutTS201700006 Application 2017-01-10Application for
.A NCN
Temporary Sign Permit
APPLICATION REQUIREMENTS:
® Temporary Sign Permit— S27
® A picture or sketch of sign showing dimensions and location of sign on properly must he attached with
this application.
® Certification that notice of ihie jplica lion has been provided to the property owner, irown cr is different
from applicant.
Name on Sign / Business Name 55tG7' Nys f ( 77Ar Py,
Location of Sign / P, -r rteoixr eF god bl"
Tax Map and t cc]: _ 076 H (- - - ov - 0OJ 40 Zoning: C
Physical St .ct Address (if assigncd): _ ZQ, t1WbtA4rf la/a'IK AV -
Applicant/Business Owner iMmshnuki we calltwritecnr,ccming this pnrycci?): 1414045ZH S16NI ATrA = D Srrmwx
Address Z l ti 5emlmoW rieuve ( City _ �Jr H4v�107r&1LI111E State VAS Zip Z.j o 1
Daytime 11honc(q;Y)_g741--7g0v YI&S Fax a9 VY- 6$9$ G-mail' & 475VA •Coe(
Owner of Record ,j"74 �Xmr 57-*rlyrl vewnw_e— z-L L
What number permit is this for your business this year?
(check one) (this will be v staff)A�arc
4u 5,e fim
El
What type of tca+pora u proposing?
(check one)
98ANNER ❑ PORTABLE ❑ A -FRAME
Depending an the zoning district the maximum bright of the sign will he
(check one)
❑ 11 feet if freestanding 920 feet Iron a wall ❑ 3o feet iron a wait
The required setback from public street right of way will be
i feet
PropertyOwn Agent's Signature
ved By r
OFFICF. USE. ONLY ��� ��/
1'ce amowtl [,_� Vale Paid ��1,-_• J,ts(/`7rcck p .Q3](� fly
Depending on the zoning district i11c maximum size of the sign, will be
❑ 24 squnrc feet N i2 square feet
Dales w a e requesting tits sign 71�
iu place.
1666 I through r
When entering the dates above, please keep in mind the following
information:
• Each permit for a temporary sign shall be valid fora period
not to exceed fr0eco (15) consecutive days aflcr the erection
of the sign.
• The Ordinance requires the sign to conic down between
permits and will be approved on•sitc by n Code
Enforccmcnt 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
IZ/ 2-
Daft
/ Date C7
Rccc4na1lIly:yL4_rcrmi,'7'
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5932 Fax: (434) 9724126
I It0212015 Page 1 of I
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