HomeMy WebLinkAboutTS201700029 Application 2017-04-04Application for
Temporary Sign Permit
0
APPLICATION REQUIREMENTS:
0 Temporary Sign Pen -nit = $27
0 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: Peace Lutheran Church
Location of Sign / Property: 1510 Broad Crossing Road/ corner of Rt 29 north and N. Hollymead Drive
Tax Map and Parcel:
Zoning:
Physical Street Address (if assigned): 1510 Broad Crossing Road, Charlottesville, VA 22911
Applicant/Business Owner (Who should we call/write concerning this project?): Teresa Cooper, parish administrator
Address 1510 Croad Crossing Road
Daytime Phone (434) 978 4357 Fax #
Owner of Record Peace Lutheran Church
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Dlsc ❑ 2nd ❑ 3rd ❑ 4m ❑ 5th
What type of temporary sign are you proposing?
(check one)
City Charlottesville
State VA Zip 22911
E-mail plchurchcville@gmail.com
Depending on the zoning district the maximum size of the sign will be
R1 24 square feet ❑ 32 square feet
❑ 61h Dates you are requesting the sign to be in place. AM ' through (I �10 �'�/�
V 11
W BANNER ❑ 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
/ Agent's
Issued/Approved 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 nine.
• Please note that an establishment is not
permitted more than sixty (60) days of
temporary silIns in a calendar year.
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Date q
OFFICE USE ONLY
Fee amount $ y Date Pai ) Check # i OF(45 By Who: Gu 0cceipt # 10Y By: Permit # 1
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
11 /02/2015 Page I of 1
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