2000-579 Lumberjack Pass TOWN OF QUEENSBURY
742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20000579 Application Number: A20000579
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Tax Map No: 523400-034-000-OOQ1- 0 -0000
Permission is hereby granted to: LUMBERJACK PASS AMUSEMENTS, L.L.C.
Owner of property{ located at: 1511 STATE ROUTE 9
in the Town of Queensbury, to construct or place a Sign
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.
Owner Address: LUMBERJACK PASS AMUSEMENTS, L.L.C.
171 WINTHROP St
r NORTHVALE, NJ 07647
Contractor or Buiidees Name f Address Electrical Inspection Agency
Type of Construction: Sign Value : $
Plans & Specifications
2000-579
48 SO FT SIGN AS PER APPLICATION
$96,00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, August 30, 2002
(if a longer period is required, an application for an extension must he made to the code Enforcement Officer
of the Town of +Queensbnry before the expiration date.)
Dated at the Town of bury; Wednesdoty,, August 30, 2000
SIGNED BY for the Town of Queensbury.
Director of Building & Cod Enfo ement
a 4
TOWN OF QUEENSBURY Fee Paid :
Y
742 Bay Road, Queensbury, NY 12804 Approved By oqw
(518) 761 -8256 Perini t #
SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED :
1 . Detailed drawing or photo of sign . MAR
2 . Plot plan of location of sign .
3 . Written consent of the owner of the building or land .
OWNER OF P ERTY Utlage. es car E G I e t4 C5 E ,Nnfc!
ADDRESS +�, L A ICE C�Ed (Z b /'�/ G/_ !Z g.. _...� TEL . .. _..�
NAME OF APPLICANT
ADDRESS
/�-.,���r��—.�"x.�:�,�'' ,.�.�;; ,c!,�r-.�� �,`�-�. �-�rF L . �► --�?� ,�':�-.�
BUSINESS NAME IF DIFFERENT : ,�
TYPE AND LOCATION
Check What Applies : Existing Permanent Projecting Sign
Temporary �— Na - confot�sing Existing
Free - Standing WaII New T
Location : Tax Map Number �
Address � ' - 7
Proposed Setbacks from Property Line ( front ) ;L0 ( side )
If sign is to be illuminated , please check appropriate box :
Internal ( ) , External ( +<,r Incadescent ( ) , Neon ( ) , Other ( }
Size of Sign : Width -� ft . Length � P ft .
Total Square Footage :
Sign Copy :
Color and Material To Be Used . �✓G'
Signature :
rc e n� p is n ow er , � ntrac or or agent .
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING .
Signature of Property Owner:
G
ORIGINAL- Office Co y COPY-Applicant
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ated on Plan Sheet 2/9
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