HomeMy WebLinkAboutTS201700014 Application 2017-02-01Application for
Tempora Sign Permit�>;!
[Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name: n t1Ot
Location of Sign / Property: CCy- y,IPi -tO F
Tax Map and Parcel:
Physical Street Address (if assigned):
Zoning:
Applicant/Business Owner (Who should we call/write concerning this project?):
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Address _', (p D-0 ` r4 ,�� l 01
Daytime Phone Fax #
city R ,(ULP�ykd l-e State0, Zip2 '?Le'R
E-mail
Owner of Record 2)or71�
Please fill out the followine:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑1st ❑ 2nd �"3'rd ❑ 4th
What type of temporary sign are you proposing?
(check one)
BkliANNER ❑ 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 ❑ 30 feet if on a wall
(See 18-4.15.8 - 18-4.15.14)
Depending on the zoning district the required
setback from public street right of way will be
(check one)
❑ 5 feet ❑ 10 feet
(See 18-4.15.8 - 18-4.15.14)
Owner's /
Issued/Approved By
re
Depending on the zoning district the maximum size of the sign will be
(check one)
❑ 24 square feet [9-32 square feet
(See 18-4.15.8 - 18-4.15.14)
Dates you are requesting the sign to be in place.
through trl �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.
31 4Atkalct-'Qo l:Z-
Date
OFFICE USE ONLY /�Q I t
Fee amount $ a7. ( Date Paid Check #� By Who. 1 L
Receipt#IVp 0((� By: V Permit#County of Albemarle Department o Comnity Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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