HomeMy WebLinkAboutTS201700031 Application 2017-05-10Application fors'a�'y'"
,�E:)
1 emporary sign rermir r
�] Temporary Sign Permit = S27
ATTACH A PIC:TUR]E OR SKETCH F "SIGN SHOWING DEVIENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Natne: �Z( ` 1�j�11, tX ' ,r
Location of Sign / Property: _ elig 'Cy1 L �(M _fit�5 'It
Tax Map and Parcel: ()�QW -,)1 - (>�, - C)`g04 Zoning:
Phvsical Street Address (if assigned): `U �) � " [A(VN _ JA-e_A!
Applicant/Business Owner (Who should we call/write concerning this project?):y 1 n t ir\ 1 C l e-eN V Ad'"rZiJ
Address Pb _ �� _ City State _ V� —. State Zip o t)6
Daytime Phone ( S� Fax # E-mail 0��j�y. , (,l^-
Owner of Record _�+ �^•_� �.I e�.-� V•t/(� ,�,
_Please rill out the following:
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)
(check one) (this will be verified by staff)
❑ 24 square feet 32 square feet
❑1m ❑ 2nd ❑ 3rn 4tt,
(Seel$-4.i5.8 - ]8-4.15.14)
f�
you are requesting the sign to be in place.
What type of temporary sign are you proposing?
�ates
1�
(ohcck one)
through
-� --- �--- -�
❑ BANNER� PORTABLE ElA-F12AM.E
When entering the dates above. please keep in mind the following
Depending on the zoning district the maximum height of the sign will be
information:
(check one)
Each permit for a temporary sign shall be valid for a period not to
❑ 12 feet if freestanding ❑ 20 feet if on a wall ❑ 30 feet if on a wall
exceed fifteen (15) consecutive days after the erection of the sign.
(See 18-4.15.8 - 18-4.15.14)
The Ordinance requires the sign to come down between permits and
Depending on the zoning district the required
will be approved on -site by a Code Enforcement Officer during
setback from public street right of way will be
regular business hours only.
(check one)
A maximum oftwo permits will be accepted for review for each
❑ 5 feet ❑ 10 feet
establishment at one time.
(See 18-4.15.8 - 18-4.15.14)
I
�✓ �-i 1 � (1 `q
Pro—periy Owner's / Agent's Signature slate.
Issued/Approved By )ate
OFFICE US , ONLY ��Q�"� �� �'n„ -;U71
kno_& JP_„_
Pee amount $ .00 Date Paid Check # � By Ufho?_V (ltg' ((tl�_[C_ri j_ Receipt # By: }permit # 3j
County of Albemarle Departme;; t of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of 1
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This farm must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permitv, Buil(ling Permits) if the application is not the
owner.
I certify that notice of the application, '�m_o,,
[County application name and number]
was provided to l�.xejk ems- _I -LC the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number Or-%U'3 _w bU%P4 by delivering a copy of the application in the
manner identified below: `rp
"--a Hand delivering a copy of the application to `� 4 �► V W o wys Luc
[Name of the record owner if the record owner- is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title 'orI Elk-)
iee for that entity]
on '-C
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on i to the following address:
Date
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
"Vi rj
Print. Appl'co me
Date
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