HomeMy WebLinkAboutTS201700044 Application 2017-06-09Application for
Temporary Sign Permit
Temporary Sign Permit = $27
ATTACH A PICTURE OR SKETCH OF SIGN SHOWING DIMENSIONS AND LOCATION ON THE PROPERTY
Name on Sign / Business Name: �v�Y uoV
Location of Sign / Property:
Tax Map and Parcel: W - (7(D L'77d6X) Zoning -
Physical Street Address (if assigned): ((0 3(o A Z.t
Applicant/Business Owner (Who should we call/write concerning this project?):
Address d t�lu City (�� State ✓k Zip�iU�
Daytime Phone ( 3 r)A 6 �S �1 Fax # E-mail L 'Y) +O
Owner of Record
Please fill out the following:
5S 0C . '-S),ry" , 7D.fhGL4 ()l k
What number permit is this for your business this year?
(check one) (this will be verified by staff)
,��..yy`� t1% ❑ 2" ❑ 3.d ❑ 41h
What type of temporary sign are you proposing?
(check one)
❑ 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
(See 18-4.15.8 - 18-4.15.14)
Depending on the zoning district the required
setback from public street right of way will be
(check one)
❑ 5 feet ❑ 10 feet
(See 184.15.8 - 184.15.14)
Property Owner's / Agent's Signature
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
(check one)
El24 square feet X 32 square feet
(See 184.15.8 - 184.15.14)
Da es you are requesting the sign to be in place.
a, through_ � I
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.
1�0 I ,--)
Date
OFFICE USE ONLY
Fee amount 5 } _ Date Paid Ci / Check # 6y Who? % n eceipt i f �C y: j Permit # q
Coun of Albemarle Departr, of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page I of 1
Y.ret V°e. :+th rcewbt
Fashion Square Mall
May 25-31
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4X8 Sign
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