1985-216 Gas Up Shoppe ' y
BUILDING PERMIT
TOWN OF QUEENSBURY No. � s-215
WARREN COUNTY, NEW YORK
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PERMISSION ishereby granted to sbp Jolm TaLAack �
leonine S1+P8
Cpf property located at , �' Rosats $ smith of Rt 14 9 Street. Road or Ave.
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in the Town of Clueensbury, To Construct or place a irreewwsta =ding S1i7111t on +e=iatimg P010 O
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a
f . OWNER'S Address is John Break
34 �i� Driyrla
Ciifton Parke now Y+Ol k 12065
li 2. CONTRACTOR or BUI LDER'S Name
Signer of Yrcg3CON6
3, CONTRACTOR or BUILDEWS Address
Pa 00 S+ou 571 ft
Glans Palls. Now York
4. ARCHITECT'S Name
S. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
i l Wood Frame l l Masonry { ) Steel ( )
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7. PLANS and Specifications 6 e its a f wo e-Wtaxid lnq 010" On eel 10t.idiig Dole
No. per wket=h and ApPlieat1cm Mi171rlftted .
C WTS a" UP S�[#PPF top
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8. Proposed use 416
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$ 15 ' ' 0 PERMIT FEE PAID — THIS PERMIT EXPIRES _ t95
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Quaensbury before xha expiration datz.) 1
Dated at the Town of Queensbury this 2119t Day of may fA 55 ry
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SIGNED BY ��•=C a Gin a x a-� for the Town of Queensbury
Building and Zoning Inpac[or ,
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TOWN OF QUF.ENSBURY TO SIVE
OF Ous"BuRy
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APPLWATION FOR SIGN PSR�CIT BEG M MAY ` 198.
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S Z1'� �� � ���1516"
Application for a sign permit shall be submitted to th I
Inspector in dWlicate in ink or typewritten .
THE FOLLOWIM INFORMATION RB=REDr ( 1 ) Detailed drawing or plan , to
scale , showing than area ( size) and the lettering and/or pictorial
matter composing the sigma ( 2) Plot plan showing it * s relation to nearbybuildings , structur*s , lot boundaries and any private orpublic streets
or highways ( 3) Written consent of the owner of the building or land .
All signs must have name plate attached giving sign permit number and
name and address of own*r.
1 . OI"m OF THE PROP'ERTY..,i.._„���Bar cK � yc S'�'•r•'� !?,��1•v�
/1DDREgS,�,�:�...� �� .,
+ r I naELFON t
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3. NAME OF APPLICANT
TELEPHONE NO . 799- 19 72
4 . ADDRESS - --
S . LOCATION OF STRUCTURE OR LAND OF PRO]SED SIGN +EAST S lib&
SD R I
6 . SIZa OF THE SIGN ( Midth ) 6 Ft • ( Length ) �(5 Ft .
7 . If the Sign is to be two faced give the number of square feet of
each face ya..r. . S q : Ft .
B . If the Sign is to be illuminated please check appropriate box :
Other( " ) , {�!)
Internal ('){ } . External ( ) . Incandescent ( ) • aeon the New
All illuminated signs shall be .in"ct*d and certified by
York Board of Fir* Und*rwriters .
9 , Type of material used for construction of Sign
10 . If the Sign is to be attached to a building , please describe where
on the building the Sign is to be located and the distance from wall
11 . Remarks or other infos+sation S`14 722 JS
Ck # f'63f
gna ure Of app
Date if ower , Contractor
n or on
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