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2002-658 Queensbury Family Health
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICAT E OF COMPLIANCE Permit Number: P20020658 Date Issued: Friday,August 09,2002 This is to certify that work requested to be done as shown by Permit Number P20020658 has been completed. Tax Map Number: 523400-301-008-0001-032-000-0000 Location: 339 AVIATION Rd Owner: BARBARA JOKES Applicant: ,u BARBARA JOKES F 11 This structure may be occupied as a: By Orden of Town Board Temporary Sip TOWN OF QUEENSBURY Director of Building&Code nforcement TEMPORARY SIGN PERMIT APPLICATION TOWN OF QUEENSBURY PERMIT NUMBER: Kept. of Community Development AUP 0 5 2®O2 742 Bay Road Fee Paid: TOWN Or Qt3==�P3SC3t1RY Queensbury,New York 12804 Q_� �ao®cry} y®CC)L). Deposit Paid: ]Deposit on fle:�- � (send refund/deposit to: Important Notice: Temporary Sign Permits are issued for a period of 12 calendar days not to exceed 60 calendar days per year per applicant. _ ,36� DATE: placement of sign: - �� e-a DATE: removal of sign: U 3�. o� -�-.ram—�- rh n o S Applicant Name (individual or business name) Mailing Address: ,w ,, ; Telep ne No. (51Y) -7q 5 - /6/5 1 Cx+UI" 1h 1, l A,clf4 -0 3 � � Sl � �^SP lax ` Exact Location/ Placement of Sign: Tax Map Number: � _ Q ��,��-y--c----- Type of Sign: Nall Sign (not to exceed 32 square feet) Sign Copy: Freestanding Sign (not to exceed 16 square feet) Sign Copy: d6L'-SMee Size of Sign: x 4 — a- sq. ft. Additional information required for this temporary sign permit application: 1. Detailed drawing or photo of sign. 2. Plot plan of location of sign. signature of p icant signature of pro erty a ner if different from applicant 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). � t gam le of Additional Information Required for Temporary Sign Permit APPEcation: SIGN TOE BE DISup FLAYELI: Aa - - wJANUBOARY I -Oth h` d :nl'I0►T PLAN SI30�G SIGN SWILL BE MISPLAYED: 1` o 6f a Idla�� I 5rn will 4 if a fref5farz4ir� Si n h-ere 1 � 5 S; vi will be des is Pd hfv?,.: � r k d ° t� � — —(sav, sefqr is anrf, strec'k rlht- a f— wa 4 cz N 'P0 Cis � Queenbsury Family Health DOUBLE SIDED WHITE ALUMINUM SIGNAGE WITH 9" BLACK LETTERS AND RED LOGO. " 0 _ • J r FAINTED WOOD FRAME i i� *iv+iv ©+i+i+iA OWN►i+i� NMI ETBACK �r. ►++++++++++++++�►� ,►++� ► i ♦♦ ♦ /� +- � ` SIR i7 • V f i i d e. � � ♦ ♦