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2002-079 Kentucky Fried Chicken TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020079 Application Number: A20020079 Tax Map No: 523400-302-006-0001-043-000-0000 Permission is hereby granted to: KENTUCKY FRIED CHICKEN For property located at: 797 STATE ROUTE 9 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: NORHTGATE ENTERPRISES INC Sign PO BOX 4514 Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name f Address Electrical Inspection Agency Plans &Specifications 2002-079 KENTUCKY FRIED CHICKEN/A&W 72.7 SQ FT WALL SIGN (A& W)AS PER APPLICATION $146.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,February 06,2003 (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 Queensbury- Wednesday,February 06,2002 SIGNED BY for the Town of Queensbury. Dzrector of Buildin, &Co e Enforcement TOWN OF QUEENSBURY Fee Paid: 742 Bay Road, Queensbury, NY 12804 Approved By: rJ (518) 761-8256 Permit #: SIGN PERMIT APPLICATION RECEIVED THE FOLLOWING INFORMATION IS REQUIRED: J A N 3 1 2002 1. Detailed drawing or photo of sign. TOWN OF QUEENSBURY 2. Plot plan of location of sign. BUILDING AND CODE 3. Written consent of the owner of the building or land. OWNER OF PROPERTY LjcJ1j,'Se*> ADDRESS 4%00 NAME OF APPLICANT n1% ADDRESS TEL,US(S BUSINESS NAME IF DIFFERENT: TYPE AND LOCATION Check What Applies: Existing —_ Permanent Projecting Sign Temporary Non-conforml Existing Free-Standing Wall New Location: Tax Map -Number _q3? Address `7 Proposed Setbacks from Property Line (front) (side) If sign is to be illuminated, please check appropriate box: t �\ Internal k/, External ( ) , Incadescent Neon Other Vo ova (;( f Size of Sign: Width ft. Length 16 ft.'7 OLI + Total Squana-EDD-tage: Sign Copy: >( lot All F, Color and Mat I To Be Used: Signature: . (Z r Cirdjk One: owner, contractor or agent. I HEREBY AUTHORIZE APPLICANT TO CE A N MY PROPERTY OR BUILDING. Signature of Property Owner l I) 02_ ORIGINAL-Office Copy COPY-Applicant . 1 PDIZI i4WJITati-M� tan l R pp i r I G {{[,,yf i I r tDm 1�� f • K _ UMELRI z 't{ Ml �Y' i i i