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TS201700027 Application 2017-05-09
Application for Temporary Sign Permit APPLICATION REQUIREMENTS: ® Temporary Sign Permit = $27 ❑ A picture or sketch of sign showing dimensions and location of sign on property must be attached with this application. ce of this application has been provided to the property owner, if owner is different ❑ Certification that noti from applicant. Name on Sign / Business Name: �P�— b�C!RGryY1 Location of Sign / Property: 2' Aemli� S P Tax Map and Parcel: 21 — Zoning: Physical Street Address (if assigned): r'f' �►'1 < < �Ot is tL�AI ©,� Applicant/Business Owner (who should we call'writc conccrning this proicct?): Address 5ln_ 10 � �' P-4��o� Daytime Phone (43q) q ()ie 3"1 Fax # Owner of Record Please fill out the followint?: What number permit is this for your business this year? (check one) (this will be verified by staff) ❑ 2"d ❑ 3d ❑ 4tt, ❑ 5,t, ❑ 6th What type of temporary sign are you proposing? (check one) ES;4ANNER ❑ PORTABLE ❑ A -FRAME City RLll kit!', t I -e- State V. Lip Af!L-7 Lo g E-mail 60yff 5('.1 D @ 1►Y14-I I • c yVi 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 Property Issued/Approved By Signature Depending on the zoning district the maximum size of the sign will be1 J024 square feet E�,!2 square feet Dates you are requesting the sign to be in place. 11 through AP ►� I5 1 2D i T (8 days) 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 ZO% Date Date OFFICE U E ONLY }} B �o��(C� } G Y 1!Receipt # �i` !Q By!,Permit # Fee amount 5' J Date Paid-5-31 1 Check # — Y M ' County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 11/02/2015 Page 1 of 1