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SIGN-0281-2019 -� TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Zoning Department (518) 761-8256 SIGN PERMIT Permit Number: SIGN-0281-2019 Tax Map No: 309.7-1-55 Permission is hereby granted to: AJ Signs For property located at: 28 WESTERN AVE SOUTH 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. Type of Construction Owner Name: Hudson Headwater Health Network Sign-Temporary $0.00 Owner Address: 9 Carey RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency AJ Signs 842 Saratoga RD Burnt Hills,NY 12027 Plans&Specifications Temporary Sign 60 days May 9 thru July 9,2019 Freestanding Sign 16 sq. ft. Sign Copy: Coming Soon Hudson Headwaters Pediatric and Adolescent Health $ 100.00 PERMIT FEE PAID Dated at the Town of Queensbury; Thursday,May 9, 2019 SIGNED BY: ( for the Town of Queensbury. Zoning Administrator Code Compliance and Informational Sheet for Permit Use Queensbury Dept. of Community Development ll Project for: EnerGov File No. Applicant Name: r% ��rs Zoning Administrator i Tax Map No. Ar,p >c bon Lot # House # 5 road,street +� 2019 S Apartment Building No. Lot Size: (• 3 OWN Ct r �` � �'Y ` 'R�ti Mobile Home Park: Business Plaza: Planned Unit Dev. Subdivision: Phase / Section Effective Year Zoning Designation Zoning Ordinance Prior to 1967, July 10 Subject to current setback requirements at time of development. Section 179-20-10,B Subsequent to Development of lots within subdivisions subsequent to July 10, 1967 shall use the July 10, 1967 setback requirements in place at the time of the approval of the subdivision. 1967 1982, June 11 1988, September 19 orner lot rule Prior to Nov. 23, 1992 approved subdivisions * (see note on back of form) 2002, April 9 2009, May 12 Town of Queensbury no longer regulates docks & boathouses on waters of Lake Effective Year 2013 George. A Building Permit is still needed, but Planning and Zoning issues are not applicable unless the project is on "our side" of the Mean-High-Water-Mark ( MHWM ). Applications for construction are regulated by the Lake George Park Commission. Road Name Setbacks Existing Required Proposed Dfference Front 1 Front 2 Side 1 _ Side 2. Rear 1 Rear 2 Shoreline Travel Cooridor Overlay Zone_ Buffer Town of Queensbury