HomeMy WebLinkAboutTS201700019 Application 2017-03-01Application for
Temporary Sign Permit
ot
APPLICATION REQUIREMENTS:
5emporary Sign Permit = $2 Za-
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: rj6tfe5V•(jj Ch(.CrM oF4ht 8rt*re_ncation of Sign / Property: of a 57 C kW 1�d
Tax Map and Parcel: 0 t A - 00 - OK -60/06 Zoning:
Physical Street Address (if assigned):I O1 a 5 it /,• Kot (.'AarjO_H>°,5V 1 I It , i/CL 02a 90 J
Applicant/Business Owner (Who should we call/write conceming this project?): aar1l0t e,5 6 1/P 1 httr6h d FAtt * re_Are_
k,. COSY
Address �� �� r✓ 20k City l�f 1CLr to 7V ! I /G /
State Y A Zip olo'�61
Daytime Phone Ajq) 9e5 -44q5:5 Fax # E-mail )_ am
OwnerofRecord l hor(6flc5y11 Ili acwoY a )dh t6rL7 ftA
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Fflil-�
❑ 2 n 133 rd ❑ 4th ❑ 5th
What type of temporary sign are you proposing?
(check one)
Depending on the zoning district the maximum size of the sign will be
LrJ 24 square feet ❑ 32 square feet
E-16 th Dates you are requesting the sign to be in place.
through
Q,16�NNER ❑ 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
The required setback from public street right of way will be
5 feet
Prop ty Owner's / Agent's Signature
sued/Approved By
OFFICE USEONhLY ( 1�
Fee amount $27+ r� Date Paid 1 CHeck (%+_ By
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
Date
apt # I C�t3 By: E3-5 Permit#1,0j,,
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
4/26/2012 Page I of 1
Char iones-vi I le
Churc-h of the
Fast Ric Roa6
Farkine Lot
proposed Sign �.ocati.�N .
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