HomeMy WebLinkAboutTS201700047 Application 2017-06-09Application 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.
❑ 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, Charlottesville, VA 22911 (corner Rt. 29 and N. Hollymead)
Tax Map and Parcel:
Physical Street Address (if assigned):
Zoning:
Applicant/Business Owner (who should we call/write concerning this project,?): Teresa Cooper, parish administrator
Address 1510 Broad Crossing Road City Charlottesville State VA Zip 22911
Daytime Phone 4( 34) 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)
❑1sc Q 2nd ❑ 3M ❑ 4m ❑ 5th ❑ 6ih
What type of temporary sign are you proposing?
(check one)
V 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
Property Owner's / Agent' Signature
Issued/Approved By
E-mail pichurchcviiie@gmail.com
Depending on the zoning district the maximum size of the sign will be
Rj 24 square feet ❑ 32 square feet
Dates you are requesting the sign to be in place.
June 3 through June, 2017
/%
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 riot
permitted more than sixty (60) days of
Date
6�/ 7
Date
OFFICE U ONLY
Fee amount $ Date Pai Check # j(Wy Who: � ceipt # I �q � By: ( Permit #
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
i