HomeMy WebLinkAboutTS201700050 Application 2017-06-05Application for
Temporary Sign Permit
0
APPLICATION REQUIREMENTS:
V Temporary Sign Permit = $27
® 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: Mailbox Express
Location of Sign / Property: Front of suite
Tax Map and Parcel: 076M 1 -00-00-00200
zoning: PD-SC
Physical Street Address (if assigned): 435 Merchant Walk Square, Suite 300, Charlottesville, VA 22902
Applicant/Business Owner (Who should we call/write concerning this project?): Gropen, Inc; Tanya Rutherford
Address 1144 East Market St
Daytime Phone ( 434) 295-1924
City Charlotteville
State .VA Zip 22902
Fax # 434-295-1926 E-mail trutherford@gropen.com
Owner of Record 5TH STREET STATION VENTURES LLC
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Qlst ❑ 2nd ❑ 3rd 14th ❑ 5th ❑ 6th
What type of temporary sign are you proposing?
(check one)
m 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
Prd`ierty Owner'St / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
❑ 24 square feet ® 32 square feet
Dates you are requesting the sign to be in place.
06/16/2017 through/0 /2017
6 1-,2 0
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
5/30/2017
Date
Date
OFFICE US"NLY
Fee $ T Date Pai koyd Check #1I
� By Who. �
Receipt #
U By: Permit
�
amount �_
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/02/2015 Page 1 of 1
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