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3735 (A) Mark Plaza TOWN OF QUEENSBURY TOWN OF. QUEENSBURY k..,34,L-)Lp WARREN COUNTY, NEW YORK J E P 151915 Application for P M• 6 SIGN ERECTIOIJ PERMIT 7�8�9�10`11y12�1�2�3�4�5� C APPLICATION IS HEREBY MADE to the Building & Zoning Department for the issuance of a sign permit pursuant to the Town of Queensbury Zoning Ordinance. The applicant agrees to comply with all applicable laws, or- dinances and regulations . FREE STANDING SIGNS must be accompanied by a plan indicating • loca- tion ( set-back) from property lines. Signs that are to be attached to a building must be accompanied by a diagram indicating all dimensions. 1. Applicant is mome d�'G.9x/9 (Owner, lessee, agent or builder) 2. Name of owner of premises , �� C(1u ` 3. Mailing address of owner a L6.%1.r5 4. SIZE OF SIGN (Width) 4 ft. ( Length) . c�// ft. Free Standing ( Heigth) c21. ft. 5. If the sign is to be twc faced give the number of square feet of each face 5/ sq. ft. Estimated cost of construction$ 6. If the sign is to illuminated, check appropriate box. Interhal ( ) , External ( ) , Spot ( ) , Neon ( ) , Flashing ( ) , Oth ) . 7. Copy of sign 7,,9/ Cd i /—A1 ZCy • 8. Other information s`rN /eZhlG7/44:77/) // 1 G /1) ( /U S %AL.C.�t7 O/✓ %'OLIE 2' • Signit.0 e of applicant, Indicate Owner, Contractor, • or Agent. • • • 4 • USG-/r�s e� 4 • 4\ /----/._.e7e.z..r ppScErCil APPROVED As pe C'swi'. ":c,r cry] :u!-.e.a.. pad ly7 ..i, ,. lL'Jd Llvatorls hae iS�j:I;LE�-ye ji x/S C, \---:;;;:evt4---- J ,1- ., y ' ,fi . /A' z... 1), a \ ' , z.,,r/2.,./ 7-/./ re-- 1 i 2.! , 1 1 Arg. ll' , , 1 /-7z e520A'/(2,/9,3 Tax' ,V' . Ie' , 1 , y 7 , ' � fly► � _ 3 � o- 4-