2004-212 NYC Italin Ices + DD
Fee Paid:
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED: 7 E C EIV E L'
1. Detailed drawing or photo of sign. APR 2 1 2004
'12. Plot plan of location of sign.
3. Written consent of the owner of the building or land. TG'P!s_,J C" '�L'?Y
_
OWNER OF PROPERTY -`-
ADDRESS �� �ja ,` s /Je�TEL.
NAME OF APPLICANT
ADDRESS (o / DEL L.
BUSINESS NAME IF DIFFERENT: /VVG '46-e-d
TYPE AND LOCAT
Check What Applies: Existing Permanent ION_ Projecting Sign
Temporary Non-conforming Existing _
Free-Standing Wall __ New
Location: Tax Map NumberJ-
Address
Proposed Setbacks from Property Line (front) _ (side) _
If sign is to be illuminated, please check appropriate box:
Internal ( j , External ( ) , Incadesce.nt ( ) , Neon ( ) , Other ( )
SipZe Q Signl Width (P ft. Length _ ft.
Total Square Footage: _ C,
Sign Copy:
Color and M ria1 To Be Used:
Signature:
Circle One: pplicanV, owner, contract ? or agent.
I HEREBY AUTHORIZE APPLICANT T P C A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property Owner: ..:
ORIGINAL-Office Copy COPY-Applicant
�xm
s �
M` _
the LEMON-ICE KING of CORONA ICES:ICE CREAM
HERSHEYT
Icy�nea,M,
C�jao1
05/12104 VED 12:25 FAI 15187930214
CRANDELL ASSOCIA'ESIeO
W�L '?
+0 . &W
09
N 06"35'00" E I.R.F.
a?ELE-
45.3V
4 M
CA
PLAtiTER
CONC. 1dON
BUILDING 1 �� I.R.F_f - —a,sa•
,6c2,65�
1 p (lb `XK.
tQIOU w
Q �
a cq
mj4
ao
3 ,
a
MEN T4 WILITIES ; u LIM t un
A IIN BOOK 674 PAGE 776 199.43'
S 06"27'00" W ( o° '•sx•
WC,
BG _
•• •-�v; � � � fJT�9T.E- dF W/,C L/�9�!/J H•�E�K/N1,• -
L�'
A77%11�CT/CJi!/J LA.t/v, //V
• � �:o . ��._: :, � Tows,
tYUUE 9 i �/C
�r
` A
r _ '
l •s
-�, - - 3-j—
t�1 --- - --- J � 1 � 1 ' !Y fRA�o.�� ~/ � j,✓�h 7� - / -/lo i s
to
NO fp
-:Z\4
TIN
0 'y
o . o
. P �i-1 3 Zo .
rb •
� �.s'3j,�g•�.w J0,4�t/ M �filA�.v/,t' � pin � . .
r
-V2.53, 5S 1 rgoo
ti1FI2/q�t/ f/. �FIti/J'Tl2y2o ..- - •. Z� � , .. .• .
- '-\ o• pro.• z/�//��c a78 .rya .- ��°�,
L"A,P,L TD,U &: i6fA,C�Ti`/iQ F,eE/BE.e E,e•.
AD
c h 9 ••. / .3 p .QO GE/e 02,
cs�. 9 a4,5 7S7
•.
pa I IIP,RI?IZY CERTIFY TO: Premier Parks lnc The Dank of New.York, as
fill D
O , ,rrr Administrative Agent, their resroctivc successors andlor asSigris. grid [o
��PieE ('hira�u '1'itic I)15llfatlCC Cunllriny. lhat this map and the survey:-gn whicli:�it
�,•. .. • • IS based, \Fete I11ndC
Ig �fiU in nceordanee W1111 "A•[irlinitlnl Swndard .DCvall
•.'�� (� s .• Requirements for nl.•TA/ACSNI l..aml 'Citic Surveys," joinll)' es[ablished,
•• �SL�,j MCp 9`F•o• and as adoptud by American Land •Title Association, Octoberiz;"I"T" 199" and
_the Antcric:In Curl ,ress on Survcyirti; and �lnllping, Novc)mbcr�:l'l, •1992,
and IIInt there ;Ire no e.ncroachmews• ei(Ger w51' acrusti tiie,projiercy. iincs,e d" •
1 1a,1 • CXeC.11l as shown hercl)n,
3179 moo• ' i
0 W C� !`
• F HE
t\•t,cCurmacl:,';•l,':L,S,-
0 DIE C,EMe94,Q 19g6 fRleiaq 9,eFgs,.-rr e4irl w£cL.s,PARCELC �/CEzr.r.PAEH1E,eP.AIIK.r�INC
AL
wp By
• Ors' �An�'ctr ro .C3,E Gong.�E.r� . '.
r o w/V�
L/['ENJE'D C ANO �fU�VE.yO2S' �''�'�1,. •�,
GLENI FALL 1' N'E!V ,t/D e C PA