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HomeMy WebLinkAboutTS201700004 Application 2017-01-10Application for Temporary Sign Permit APPLICATION REQUIREMENTS: [t/J 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: Martha Jefferson Family and Walk -In Care Location of Sign / Property: Above main suite entrance on South side of buildin Tax Map and Parcel: 076M1-00-00-00200 Zoning: PD-SC Physical Street Address (if assigned): 435 Merchant Walk Square, Suite 400, Charlottesville, VA 22902 Applicant/Business Owner (Who should we catt/write concerning this project?): Gropen, Inc; Tanya Rutherford Address 1144 East Market St City Charlotteville State VA Zip 22902 Daytime Phone (434) 295-1924 Fax # 434-295-1926 E-mail trutherford@gropen.com Owner of Record Venture Property Please fill out the followint: What number permit is this for your business this year? �l (check one) (this will b veP[ by staff) W11st El2n �3rd ❑ 4111 ❑ 5t], ❑ 6th What type of temporary sign are you proposing? (check one) V 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 Rj 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 0 32 square feet Dates you are requesting the sign to be in place.JaA/y ,through_ .e .6- 13 D P 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 / /-/ Date OFFICE US&ONLY'] j 5 Fee amount $ _� Date Paid Check # ✓ (3 By who? K l� Receipt # By: lJ _ Permit # l 1-7 _Oovo 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 Csw C') v O •-' Z C/) U, O O Z !J � Z �- � O CD CD CD a G O Z W Q Q �V I O ' M in coD D Q Z m Z � mo D tm Z D � r V Cn z ® � O C m � ` I cn A a con c~o lot A co O cam Z O s y A A Cf O. K m O lD N N O m CO yco _ I . A cam Z O s y A A Cf O. K m O lD N N O m CO yco _ I . A d O lD Z Z o � o � cn O � O Z D Z Z m C) CD m E3 CD O C/) m Y Y 5 _. i �3 ? 6 f k _ �Q Y xea fi} if •Tk 1 f ..'w m2 t? N O� (n o ~ O O m � f 2 �9:yI" DZ N o n~ PnF 3 0 chi#fD z d o m o o O N