HomeMy WebLinkAboutTS201700070 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 a licant.
Name on Sign / Business Name:
Location of Sign / Property:
Tax Map and Parcel: C/ t/ Zoning:
Physical Street Address (if assigned):
Applicant/Business Owner (Who should x+c ca
ll write concerning this project?): I p
Address 26� City �4L l State zip 0
p c�
Daytime Phone �34 ! 73 —7e17� Fax # E-mail � j ex,�—�`� %' �1•���
Owner of Record
Please fill out the following:
What number permit is this for your business this year?
(check one) (this will be verified by staff)
Ells' ❑ 2nd ❑ 3ra 4W ❑ 5111
What type of temporary sign are you proposing?
(check one)
tST
❑ 6w
-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
Owner's / Agent's
Issued/Approved By
Depending on the zoning district the maximum size of the sign will be
PI-4-square square feet ❑ 32 square feet
Dates you are requesting the si r to be in place.
(/�I�e � through
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
;L/I
Date
OFFICE USE ONLY 7 ) (� ; Pen -nit
Fee amount $ __ Date Paid 46& heck # Ll By Who? `l't • eipt # v'
/ /l 07
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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