2003-737 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030737 Application Number: A20030737
Tax Map No: 523400-301-008-0001-029-000-0000
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Permission is hereby granted to: CLEANER TMACTF.
For property located at: 18 MANOR Dr
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. Type of Construction Value
Owner Address: OMEGA ENTERPRISES, LLC Sign
11 RICHARDS St Total Value
WARRENSBURG,NY 12885-0000
Contractor or Builder's Name Address Electrical Inspection Agency
Plans&Specifications
2003-737 'CLEANER IMAGE
61 SQ FT FREE STANDING SIGN AS PER PLOT PLAN SPECIFICATIONS
$122.00 PERMIT FEE PAID-THIS PERMIT EXPIRES:
(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 Town of Queen y, September 15, 2003
SIGNED BY A for the Town of Queensbury.
Director of Building Cod knforce.ment
10,
Fee Paid: 06
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804 Approved By:
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(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
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THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign. ;114 0
2. Plot plan of location of sign. 0114.V OP
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY
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ADDRESS 1 -rX a-
01 NAME OF APPLICANT co
'4ADDRESS 'rQ�jo�s Y 2-80V TEL.
,& BUSINESS NAME IF DIFFERENT: S CIIAA&" M �*
TYPE AND LOCATION
Check What Applies: Existing —_ Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing Wall New
Location: Tax Map Number
Address
Proposed Setbacks from Property Line (front) (side)
If sign is to be illuminated, please check appropriate box:
Internal ((xternal Incadescent (Neon Other
/VSize of Sign: Width f t. Length f t.
Total Square Footage: `
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Sign Copy: <Z
Color and Materiato Be Used: &Se_7-A,4c ylZ l k4f
D6 Signature:
Circle One: Applicant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT 0 LACE A SIGN ON MY PROPERTY OR BUILDING.
V Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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MAILING: SHOWROOM:
P.O. Box 332 • Glens Falls,NY 12801 52 Main Street • Queensbury,NY 12804
phi-792-4009 fx. 518-792-4476
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