HomeMy WebLinkAboutTS201800008 Permit 2018-01-22Application for
Temporary Sign Permit
APPLICATION REQUIREMENTS: Sli
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Temporary Sign Permit = $27 U
❑ 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: Spring Hill Baptist Church
Location of Sign / Property: Corner of Frays Mill Rd and Seminole Trail, Ruckersville
Tax Map and Parcel: Zoning: 1 U ! 1 C h 5
Physical Street Address (if assigned):
Applicant/Business Owner (Who should we call/write concerning this project?): Kimberla Ti
Address 2620 Frays Mill Rd
Daytime Phone 4( 34) 973-7473 Fax #
Owner of Record Spring Hill Baptist Church
Please fill out the following:
What number permit is this for your business this year?aDt
(check one) (this will be verified by staff)
Mf ❑ 2"a ❑ 3ra ❑ 40-
What type of temporary sign are you proposing?
(check one)
® BANNER ❑ PORTABLE
City Ruckersville
State VA Zip 22968
E-mail office@springhillbaptist.org
Depending on the zoning district the maximum size of the sign will be
® 24 square feet ❑ 32 square feet
❑ 5u' ❑ 6'h Dates ou are requesting the sign to be in p ce.
l O� through , d
❑ 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
/ Agent's
Issued/Approved By
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
OFFICE US ONLY
Fee amount $ Date Paid ' I Check # �� By Who. Receipt # L'1 n By: l ` Permit #�
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22M Voice: (434) 296-5832 Fax: (434) 9724126
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