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HomeMy WebLinkAboutTS201700003 Application 2017-01-10Application for Temporary Sign Permit APPLICATION REQUIREMENTS: 0 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. W 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: 076M1-00-00-00200 Physical Street Address (if assigned): 435 Merchant Walk Zoning: PD-SC 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 City Charlotteville State VA Zip 22902 Fax # 434-295-1926 E-mail tutherford@gropen.com Please fill out the following: VA L9 What number permit is this for your business this year? (check one ( ' i be verified by staff) WI St �2nd El 3rd ❑ 4m ❑ 5u� ❑ 6rn 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) 17112 feet if freestanding ❑ 20 feet if on a wall © 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 17124 square feet 0 32 square feet Dates you are requesting the sign to be in place. J . ► . a�� 7 through ,, .1 pol 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 I'q �,,_ 7 �y�� Fee amount $ _� Date Paid _P* Check # 33513 By who? 7 Receipt # 1� By: ,V_ Permit # zpml v )417 -oov a 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 l of 1 C Q � Z S I-' W Q ;:o IN Z � D rn � D D Q Z O r,-I m C/) D D m Z � m N z ® 6 m Z O y N . let - Q A c� O I� 0 m �n mN D� o o n CD yn { Z S � O O ■■S N 0 m �n mN D� o o n CD yn { Z S � O O ■■S N Z 0 0 cn m m �c O s E Z cc f) N rr O O Z co Z Z m x n� CD m 3 CD m w CmOO y� x� m O �. x O m F W Z N m0 VZ �f z N 2�<� -y m y � po A m Ol r y N 3 K r Oy 01 G O< N A .Z7 -ZI N O�� N f7 p N d (IDi'i O l0 ID N m aV0 ■ms I O O N