HomeMy WebLinkAboutTS201700028 Application 2017-04-04Application for
Temporary Sifyn Permit
[Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign/Business Name: Q �.�(�(( �T UUr ���/f&c)r
Location of Sign / Property: / G 111 t () cL . � L� j �t�l J�� 2�'
Tax Map and Parcel: �/q�
Physical Street Address (if assigned): t�s 1 ,t,0 1�6t,
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Zoniinng::,
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Applicant/Business Owner (Who should we call/write concerning this project?).w�
Address ��J 1` J . i F, ,
( City C � ,rtd SV State Zip -2,
Daytime Phone �3 er S C Fax # E-mail C `jy «C �C_(t-e r✓(�DS e (n V C„r
Owner of Record is c Q 0 (� Ocy --y V J
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
❑2nd 1:13d ❑4a,
What type of temporary sign are you proposing?
(check one)
f"J BANNER []PORTABLE ❑ A -FRAME
Depending on the zoning district the maximum height of the sign will be
(check one)
lJ 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 0 10 feet
(See 18-4.15.8 - 18-4.15.14)
/-1 At
Owner's / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
(check one)
Fr24 square feet ❑ 32 square feet
(See 18-4.15.8 - 18-4.15.14)
Dates you are requesting the sign to be in place.
c 3 cDoc, through Ap%tT_ 1 0 au(-2
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.
3/14ir �7
Date
Date
OFFICE USE ONLY V2_71(Fee amount $ Date Paid heck #3 YL �] By Who?�O J Receipt #?T y: 4a�� Permit # a 0
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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11/1/2015 Page 1 of 1
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