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1985-464 Lums BUILDING PERMIT TOWN OF QUEENSBURY No. 85-464 WARREN COUNTY, NEW Y©RK PE lO I her bycp, to Lum ' s Restaurant U4"fV�R Cn of proated at upper Glen St . , Zayre Plaza Street, Raced or Ave. N y T errt Sign n in the Town of Queensbury, To Construct or place a P • g � 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. 1 . pyVN1 R S Address is Daniel Gad in L. & R . Grossman an Ors , prope ty r�l 55 Harrison Ave - 150 White Plains Road ovine s SO _ Glens Falls , N . Y . Tarrytown r NY 10591 r ONTRACTOR or BUILDERS NameONTRACTOR or Bl31LDER S Address C' "C [D n 4_ ARCHITECT"S Name fD I fS. ARCFiITECT•S Address 0 Ir fb 1p 6. TYPE of Construction — (Please indicate by X) l ( 1 Wood Fran ( ) Masonry 1 1 Steel ( ) A) K i. PLANS and Specifications N©. banner on top Of facade per application submitted . I-' Temporary permit for 34 days to Sept • 23r 1985 . ' N fu B. Proposed Use Temporary sign - advertising $ 2 5 . 0Q Depos-t S 5 ° $ 2 5 . 40 PERMIT FEE PAID - THIS PERMIT EXPIRES Ste • 23 19 '0 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M town of Ousensbury before the expiration date_) 4* -August 1 5 Dated at the Town of Queensbury this 2 3 rd 'Day of Au g SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY *TOWN OR QUEENSE3.URY eA f APPLICATION FOR SIGN PERMIT s b >>� Inslication for a sign permit shall be submitted to thziqi � � 34 � t6 pector in duplicate n ink or typewritten . THE FOLLOWING INFORMATION REQUIRED : ( 1 ) Detailed drawing or plan , to scale , showing the area ( size ) and the lettering and/or pictorial matter composing the sign ( 2 ) Plot plan showing it ' s relation to nearby buildings , structures , lot boundaries and any private or public 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 owner . 1 . OWNER OF THE PROPERTY 2 . ADDRESS cj ' "y l ! Le 9C lhZ : ) j V1 )(T 1k) TELEPHONE ``NO . 3 . NAME OF APPLICANT � 'C ( �( � Lh;X l �1J 4. . ADDRESS ( � , _ � «n , tT -�.� _ TELEPHONE NCI - � ! /k_,� 5 . LOCATION OF STRUCTURE OR LAND OF PROPOSED SIGN 6 . SIZE OF THE SIGN ( Width ) Ft . ( Length ) J Ft . 7 . If the Sign ' s to be two faced give the number of square feet of each face # ' l - Sq . Ft . 8 . If the Sign is to be Illuminated please check appropriate box : Internal ( ) , External { ) , Incandescent ( ) , Neon { ) , Other ( ) All illuminated signs shall be inspected and certified by the New York Board of Fire Underwriters . 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 p of 11 . Remarks or other information Date C nature o app an , p ease n Ica e f owner , Contractor or Agent