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TS201700001 Application 2017-01-10
Application for Temporary Sign Permit 0 APPLICATION REQUIREMENTS: "f 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: Location of Sign / Property: -J, t,` Tax Map and Parcel: ! r,l� t - 51 / Zoning: l Physical Street Address (if assigned): r3l ; L- t Applicant/Business Owner (Who should we call/write concerning this project?): \ g ie-'11 ? / , . f , zip ti Address �ca L� :� << r , �, ,,>. t_ ; <_ City,_ _ E I<: < s� State Daytime Phone (!y~F) C`� t <! ` �• ! Fax # 1'3�9(> `a�?�` E-mail Owner of Record I_ t (X6 i,:'- L I-C — Please fill out the following: What number permit is this for your business this year? (check one) (this will be verified by staff) ©1st ❑ 2„d El3rd ❑ 4th ❑ 5th ❑ 6th 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) ❑ 12 feet if freestanding 1 `J' 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 'Approved By re Depending on the zoning district the maximum size of the sign will ❑ 24 square feet ©32 square feet Dates you are requesting the sign to be in place. through� j i When entering the dates above, please keep in mind the followit information: • Each permit for a temporary sign shall be valid for a peril not to exceed fifteen (15) consecutive days after the erect 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 f each establishment at one time. • Please note that an establishment is not permitted more than sixty (60) days of temnnrary signs in a calendar year. vale OFFICE USA ONLY /�((��_ 2 �S �O1 �Uc)uo Fee amount $ Date Paid Check # �� By Who. LLC eceipt # f 7 By: Permit # County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 11/02/2015 Page 1 t A I f' Y a r. i