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2003-618 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030618 Application Number.. A20030618 Tax Map No: 523400-290-013-0001-002-000-0000 Permission is hereby granted to: WARRFNWASHINGTON ARC For property located at: 195 HAVILAND Rd 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. Ty pe of Construction Value Owner Address: CHAVELIETE, L.L.C. Temporary Sign PO BOX 126 Total Value LAKE HIAWATHA,,NJ 07034-0000 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2003-618 WARREN WASHINGTON ARC 24 SQ FT TEMPORARY SIGN TO RUN FROM 8/12/03 TO 8/21/03 AS PER APPLICATION $60.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:,. Saturday,August 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 th o f Que b F iday,August 08,2003 SIGNED BY for the Town of Queensbury. V Director of Building&8%e Enforcement TEMPORARY SIGN PE.RI MIIT APPLICA TION TOWN OF QUE.ENSBURY PERMIT NUMBER: Dept. of Community Development t>O 742 Bay Road Fee Paid: L d Queensbury,New York 12804 Deposit Paid:��Za .Important Notice: AUK 0 3 2003 Temporary Sign Permits are issued for a period of 12 calendar days not to exceed 60 cal � S�UFtY per applicant. Exception-political signs(see attached Local Law). tJiL P� ODE DATE: placement of sign: DATE: rentoval of sign: o /.2,/ / 193 Applicant Name(individual or business name): "f ro, 4p A- _ Mailing Address: `l j(j jrA ljAd tj 4athi,I Telephone No. (516') 1q3 - Exact Location/Placement of Sign: Tali+ Of bar r- Tax Map Number: Section Aga , Block 13 ,Lot /-A Type of Sign: (only one [11 sign allowed per permit�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: ,iXCA f - Freestanding Sign(not to exceed 16 square feet) Sign Copy: SIZE OF SIGN: x 1 — sq. ft. sigma re of applicant signature of pro-pe4kwner if different from appliVant 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: W ran bjd. *;q Ake, } MIz,. ION-DOLLAR SHOoTOvT To Benefit Warren-Washington ARC mow would you like a chance to win a Million Dollars? Location: Hiland Park Country Club Qualify: August 18 - 21 12:00 noon - 7:30 p.m. Final: August 22, 7:00 p.m. For information and tickets please call r 793-4204 or 761-9465