2002-385 Martha's Fee .Paid: 1V
TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12$(}4
Approved By:
Permit #:
(518) 761-8256
r
SIGN PEP141T APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
1. Detailed drawing or photo of sign. f
2. Plot plan of location of sign. xf
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY
ADDRESS TEL. IJJ
NAME OF APPLICANTrN
ADDRESS ECE VE /.P 72-3—C13 7'2_ .
BUSINESS NAME IF DIFFERENT: ��r G S MAY 1 32 02
TYPE AND LOCATION TOWN OF OUEENSBURY
BUILDII G AND CODE_
Check What Applies: Existing 1�0 Permanent _®Projecting Sign
Temporary Nan-co Existing
Free-Standing Wall }o New
-\
Location: tTax Map Number
Address
Proposed Setbacks from Property Line (front) �7 1 (side) /
If sign is to be illuminated, please check appropriate box:
Internal ( j , External { ) , Incadescent ( ) , Neon ( ,"Other ( )
Size of Sign: Width ft. Length �_ ft.
Total Square Footage:
Sign Copy: 1 �h wtsG ,�.,70L
Color and Material To Be Used: 2n4li, -
Signature:
Circle One• Applic t, ner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO P E 4SII ON MY PROPERTY OR BUILDING.
Signature of Property Omer: �✓�
ORIGINAL-Office Copy COPY-Applicant
� � a
r�F
•�' " ,.ash
Wo
�a4 y',�. yy�. f` �-k b `9. �I li l y}t ✓'nt! �'T t�l�. - � L � R�
41' ti`.' >' -
y
" , "*, r '?': ram`^ �' *� •; sete ',p
�. >�-x-� � £i� q,9�.�+' �.,i .� '•- 7�' 'y� �.`'�,,� r Ff� y���',,,v' �w�yk�:.�;4� $�,,.�ta�a'�`��y"`���. � �..,:.� � ���,{t .,,m
�
� �,�r 3 ,,,�:,�p:.�`s, d.� �°�'+ri,. �' "' }-i .:"^`J'�y 'i'_" .t r� .¢" f1? ,�;.i� � 3•e y, ,, ty S 2� ,�� �vt �� � [�'s 0`f &� I
'y
V
ws� ' 4;110
a •.
�, y g*• a s ',,a
£ PO
"tl.'�' { �� y.� m �,�s��., e, J��^,� fiy4� d y ,.,,*@ '� _ ",+ '� � x '� �e,"� pk` *"; �D�• +; -
ya 'S'�s,a °' �€,� "'�nr .,4'•"s,�«4 'sa 4.."�. �` *s; .f` e 'k',"n. 'w.n 1w
�e Vviol
3 '`'�� v*>s �c'� �c�"�'' ��,„ n tk ,=a � �#f '$,� .f c �%T`a � t�T � '�, • ' � j i
n � '� rt°''zF�C a � ;^ m a �: �.is a ,k 1`"F'° '•¢ .3.;.* ; ��',' t ck':�"�` +fn t 1 � d �i ,.
3{s+ "'�.to #,:b �. E•�„ ti" t s.W,? �, f c ly,..t i S §` x�'?���� t 4 � -.
mmpZA54
_gg
'qq
g l5z,
ek,
u'r,
t, —,—M k'!M'NK, ROT
u�z
qr,w.� :I
&I
rr
L-77777'7-7
. . . . . . . . . . . . . . . . . .
Cy