SIGN 2007-315 Body Relief & Spa i
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF COMPLIANCE
" Permit Number. P20070315 Date Issued: Friday, September 07, 2007
This is to certify that work requested to be done as shown by Permit Number P20070315
has been completed.
Tax Map Number. 523400-296-013-0001-018-000-0000
Location: 959 STATE ROUTE 9
Owner. RAYMOND HIPPELE
Applicant: RAYMOND HIPPELE
This structure maybe occupied as a:
Temporary Sign
By Oder of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
%�....---------r..i..r....
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OFFICE USE ONLY � r_---------
TAX MAP NO. PERMIT N0. � '
' DEPOSIT: '
APPROVALS: ZONING: , 01
TOWN CLERK:_______PERMIT FEE: ' '
' i !
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TEMPORARY SIGN PERMIT APPLICATION --
:
Annlicant Information Business In ormatzon
Name: �L 'oI
Cogtact Person: A,.-sa ��
Address: 9!5 R+ 9
A+. K,yOA P(a-K� Address: Sams
�ee
Phone No. -7q o
Ph ne No. 7�;
S ecifdc I:formation uhnvt y.,,,�oy jj ii.
✓ What is the date for Placement of your sign? :.�tx.Jlt Iz zy ;�� ,*l N°
What Is the date for removal of your sign? ,A, AtA4 r4o V.
✓ How many days will your sign be displayed? _�� ,0 `
✓ Indicate exact address for placement of sign:_ 9S�
✓ Indicate tax map number for your parcel:
✓ Indicate the type of signyou will Y .l display:
_Wall Sign (cannot exceed 32 square feet)
--X Freestanding Sign (cannot a)ceed 16 square feet)
✓ What are the dimensions of the sign? S X = 1S
sq, ft.
✓ Indicate in words what your sign will say: & � ►��.1~ ,,,,
Note: 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)
Declaration: To the best of my knowledge, the statements contained in the application, together with
the plans and specifications submitted, are a true and compute statement of all proposed work to be
done on the described premises and that all provisions of the Zoning Ordinance, and all other laws
pertaining to the proposed work shall be complied with, wheff ier specified or noted, and that such work is
authorized by the owner
APPLICANT SIGNATUR D TE:
I hereby authorize the pplica pl e a s' n on my property or building: ^7_`
OWNER SIGNATURE: _ DATE:
Alon with our a ication lease submit.
QUESTIONS? CALL 761-8256 OR EMAIL
o Detailed drawing or photo of sign codesOcaueensbury net
VISIT OUR WESSITE FOR MORE INFORMATION
o Plot Plan of location of sign www.aueensburv.net
Town o •
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