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TS201800047 Application 2018-07-06
Application for Temporary Sign Permit APPLICATION REQUIREMENTS: 0 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, 22911, corner of N. Hollymead and Rt. 29 N Tax Map and Parcel: Zoning: Physical Street Address (if assigned): 1510 Broad Crossing Road, Charlottesville, VA 22911 Applicant/Business Owner (who should we call/write concerning this project?): Teresa Cooper, parish administrator Address 1510 Broad Crossing Road 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) ❑1st Q 2nd ❑ Yd ❑ 4th ❑ 5'h ❑ 6th What type of temporary sign are you proposing? (check one) RIBANNER ❑ PORTABLE ❑ A -FRAME Depending on the zoning district the maximum height of the sign will be (check one) ❑ 12 feet if freestanding 0 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 / A(ggl nt's Signature IsWed/Aped By City Charlottesville State VA Zip 22911 E-mail plchurchcville@gmail.com Depending on the zoning district the maximum size of the sign will be 0 24 square feet ❑ 32 square feet Dates you are requesting the sign to be in place. June 26, 2018 through July 10, 2018 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 teMDorary signs in a calendar vear. IJ OFFICE U E ONLY _ Fee amounts _ Datc Paid Check # By Who? 1 til�cccipt #/ yt/�crmit # — ,, County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 l 1/02/2015 Page 1 of 1