2002-653 New Way Lunch Sb r�
a TOWN OF QUEENSBURY ,
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
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CERTIFICA E OF COMPLIANCE
Permit Number: P20020653 Date Issued: Wednesday,August 07,2002
This is to certify that work requested to be done as shown by Permit Number P20020653
has been completed.
Tax Map Number: 523400.302.006-0001-017-000-0000
Location: 731 GLEN St
Owner: CLAUDE CHARLEBOIS
Applicant: NEW WAY LUNCH
This structure may be occupied as a:
By Order of Town Board
Sign TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY Fee Paid: gV<e'
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #:
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
64
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I. Detailed drawing or photo of sign. x Z002
2. Plot plan of location of sign. vVIV 0
3. Written consent of the owner of the building or land. CRY
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OWNER OF PROPERTY cl-A-toe-
ADDRESS V-0.5 e V E:Ll— LE;1,0 Ki TEL. rlq'7-- 3(.q (
NAME OF APPLICANT :5U-S A-f4 634-)_e' _s
ADDRESS _q'3 t 6te_-14 ST- MV TEL.
BUSINESS NAME IF DIFFERENT: QtAZE5* .-
TYPE AND LOCATION
Check What Applies: Existing I— Permanent Projecting Sign 5 I&t4 w ju-
Temporary Non-conforming Existing ATr*CffCb
Free-Standing Wall New 70 PDLR,- wwm
Location: Tax Map Number
Address 1731 fit.em sT
Proposed Setbacks from Property Line (front) k3 -L (side) -A-
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If sign is to be illuminated, please check appropriate box:
Internal External Incadescent ( ) , Neon Other
Size of Sign: Width to-119?'T
ft. Length f t.
Total quare Footage:
Sign Copy: =C. 1 ` -K )Ct
Color and Material To B Used:
&-om 24F -rA-m �� ,s
Signature: Circle OnLy.
Applican owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.
Signature of Property owner
ORIGINAL-Office Copy COPY-Applicant
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