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SIGN-000353-2018 TOWN OF QUEENSB-(.JRY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Zoning Department (518) 761-8256 SIGN PERMIT Permit Number: SIGN-0353-2018 Tax Map No: 303.19-1-71 Permission is hereby granted to: Phantom Fireworks Eastern Region,LLC For property located at: 308 DIX AVE in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. lype of Construction Owner Name: KMart(SHC) Sign-Temporary $0.00 Owner Address: 3333 Beverly RD Total Value $0.00 Hoffman Estates,IL 60179 Contractor or Builder's Name/ Address Electrical Inspection Agency Phantom Fireworks Eastern Region,LLC 2445 Belmont AVE Youngtown,OH 44502 Plans&Specifications Temporary Wall Sign 30 sq.ft. June 22 thru July 14,2018 13 days Sign Copy: Fireworks Phantom Fireworks with logo $50 deposit paid and refundable after sign has been removed $ 70.00 PERMIT FEE PAID Dated at the Town M Monday,June 18, 2018 SIGNED BY: for the Town of Queensbury. Zoning Administrator