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HomeMy WebLinkAboutTS201700005 Application 2017-01-10rl) Application for Temporary Sign Permit APPLICATION REQUIREMENTS: ® Temporary Sign Permit = $27 0 A picture or sketch of sign showing dimensions and location of sign on property must be attached with this application. 0 Certification that notice of this application has been provided to the property owner, if owner is different from applicant. Name on Sign / Business Name: Martha Jefferson Family and Walk -In Care Location of Sign / Property: Above main suite entrance on South side of building Tax Map and Parcel: 076M 1 -00-00-00200 Zoning: PD-SC Physical Street Address (if assigned): 435 Merchant Walk Square, Suite 400, Charlottesville, VA 22902 Applicant/Business Owner (who should we call/write concerning this project`?): Gropen, Inc; Tanya Rutherford Address 1144 East Market St Daytime Phone (434) 295-1924 Owner of Record Venture Please fill out the following: City Charlotteville State VA Zip 22902 Fax # 434-295-1926 E-mail tutherford@gropen.com What number permit is this for your business this year? (check one) (this will be verified by st pas, ❑ 2nd ❑ Yd q4m ❑ 511� ❑ 6th What type of temporary sign are yo oposing? (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 0 30 feet if on a wall The required setback from public street right of way will be 5 feet Property Owner's / Agent's Signature Issued/Approved By Depending on the zoning district the maximum size of the sign will be ❑ 24 square feet © 32 square feet Dates you are requesting the sign to be in place. 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 corne 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. Z,"y7 Date OFFICE US ONLY Fee amount $ % _ Date Paid t 2_Q Check # ' 12 By Who?MjUn Receipt # ImZg3 By: -Permit # County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 11 /02/2015 Page I of 1 r a Q A a � A n A O Ri T- 3= � N 2 N <r^ O zocN-) pn�� OFF d u o I C, / _= & 33R & ][2® §{// ~ ~\ _&g _ {/f� co )f/£ & - ■■D 2 a