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2004-422 NYC Italian Ices TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040422 Application Number: A20040422 Tax Map No: 523400-295-008-0001-002-000-0000 Permission is hereby granted to: NYC',TTAT,TAN TUFFS For property located at: 1161 STATE ROUTE 9 in the Town of Queensbury,to construct or place N 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 Value Owner Address: MITCB ELL A COB EN PO BOX 21 Temporary Sign Total Value LAKE GEORGE, NY 12845 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-422 N.Y.C. ITALIAN ICE 20 SQ FT TEMPORARY SIGN TO RUN FROM 6/9/04 TO 6/21/04 $10.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Monday, June 21, 2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Ton d sday, June 16, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code nforcement T'E1VMPORAR Y SIGN PERMIT APPLICA PION TOWN OF QUEENSBURY PERMIT NUMBER: Dept. of Community Development oG 742 Bay Road Fee Paid: C� Queensbury,New York 12804 Deposit Paid: Important Notice: Temporary Sign Permits are issued for a period of 12 calendar days not to exceed 60 calendar days per year per applicant. Exception-political signs(see attached Local Law). DATE: placement of sign: / / 0 DATE: removal of sign: Applicant Name (individual or business name): ✓" ' G ��� `J �� Mailing Address: /0 G� `y �'' Telephone No. ( ) 7 V7 - r— .e��-,;/ , 1-4 y Exact location/Placement of Sign: `,I,w Tax Map Number: Section , Block , Lot Type of Sign: (only one [1] sign allowed per pen-nit -exception) Political Signs ONLY(to be placed 60 days prior to event) Sign Copy for Political Sign: Wall Sign (not to exceed 32 square feet) Sign Copy: Zc G'. Freestanding Sign(not to exceed 16 square feet) Sign Copy: SIZE OF SIGN: L x a = s ft. signature of applicant signature o operty owner if different from applicant name Failure to remove sign at expiration may result in forfeiture of deposit as per the Code of the Town of Queensbury, Section 140, Subsection 140-4 (Local Law No. 11, 1993). Send Refund-deposit to: dj 71 orl _// 000 art, r W l '• 43 N_• ` l f ,� n • � � `a � �a ..w-=-©`r• � � _ _ c'L Cis �i c a A :� •,; � ; a � � y •ems �-; �03 0=-3�-E s iii�9Q ' �-- -- _�% ` �'� 3NZ • - _ - \ t J� ftif DO ly �• Z f ' o kS) �. _ LA gg jq fi = ^\v1 O ',� (t �� � ,lJ •r�T��y $ 77 N � � nr ' � � �•1 - _ J �` � `o mot- � � \cr IL IK- " < CIO i RECEIVED JUN n 8 2004 TOWN OF QUEENSBURY BUILDING AND CODE