HomeMy WebLinkAboutTS201500058 Application 2017-03-01Application for
Temporary Sign Permit
0
APPLICATION REQUIREMENTS:
0 Temporary Sign Permit = $25 f
■❑ 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
frotn ap2licant, tJ
Name on Sign / Business Name: 4 the Wounded 5K
Location of Sign / Property: US Route 29/Lewis and Clark Drive
Tax Map and Parcel: 32-6A zoning: PDIP
Physical Street Address (if assigned):
Applicant/Business Owner (Who should the callAwite concerning this project'?):
Chelsea Rives
Address One Boar's Head Pointe
City Charlottesville State VA zip 22903
Daytime Phone ( 434 ) 982-4848 Fax 4
E-mail cer8w@virginia.edu
Owner of Record
Please fill out the followine:
Depending on the zoning district the maximum size of the sign will be
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑ 24 square feet IN 32 square feet
1" ❑ 2"d ❑ 3`" ❑ 4a' ❑ 5"' ❑ 6o'
Dates you are requesting the sign to be in place.
May 22, 2015 June 07, 20'15
through
What type of temporary sign are you proposing?
(check one)
❑■ BANNER ❑ PORTABLE ❑ A-FRANIE
When entering the dates above, please keep in mind the following
information:
Depending on the zoning district the maximum height of the sign will be
• Gach permit for a temporary sign shall be valid for a period
(check one)
not to exceed fifteen (15) consecutive days after the erection
of the sign.
K 12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
aThe 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.
The required setback from public street right of way will be
A maximum of two permits will be accepted for review for
each establishment at one time.
5 feet
0 Please note that an establishment is not
permitted more than sixty (60) days of
temporary si ns in a calendar vear.
5 26%r✓
Pro erty Owner's / gent's Sig ure
Date
Issued/Approved By
Date-
USE ONLY
OFFICamount
is
Fee amount $ Date Paid Check # By Who?
Receipt # By: Permit #
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
4/26/2012 Page 1 of 1
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WWW.4THEWOUNDED5K.COA
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