1832 U.S.C.I A Division of C.R. Bard Inc BUILDING PERMIT
TOWN OF QUEENSBURY No 1822
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to U.S.C.I. A Division of C.R.Bard, Inc. •
OWNER of property located atR13 Bay Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Sign
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. OWNER'S Address is
Bay Road Box 787
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
Same as above.
4. ARCHITECT'S Name
5. ARCHITECT'S Address -
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel 1 )
7. PLANS and Specifications
4'X31' 1' 3" as per plot plan
8. Proposed Use
"U.S.C.I A DIVISION OF C.R. BARD, INC." oo
replacing sign originally installed on face of main building
$ 5_00 PERMIT FEE PAID —THIS PERMIT EXPIRES 10-1- 1972
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 7 Day of� June 19 72
SIGNED BY ,4L � p� for e Town of Queensbury
wilding toning Inspector ‘0,/7)/
TOWN fOF 22QUEE�Nj SBURY
TOWN OF. QUEENSBURY ,�JU►N 7 972"`
WARREN COUNTY, NEW YORK A.M. P.M. .
Application for ?I8I911(�11112I1I21314151I
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SIGN ERECTION PERMIT
APPLICATION IS HEREBY MADE to the Building & Zoning Department for
the issuance of a sign permit pursuant to the Town of Queensbury Zoning
Ordinance. The applicant agrees to comply with all applicable laws , or-
dinances and regulations .
FREE STANDING SIGNS must be accompanied by a plan indicating - loca-
tion ( set-back) from property lines. Signs that are to be attached to a
building must be accompanied by a diagram indicating all dimensions .
1. Applicant is tJ,.W. 67,(X,.,;,te ,,_ [N, /e /a ,� �i/•
•r c_ ,
(Owner, les ee, agent or builder)
2. Name of owner of premises .Cl��.,�-7�—
•3. Mailing address of owner i/a.,cy RI p 7
4. SIZE OF SIGN (Width) -jl ft. ( Len Length) . ft. .2- l
9 / �
Free Standing ( Heigth) /-3 'ft. •
5. If the sign is to be twc faced give the number of square feet of each
face sq. ft. Estimated cost of construction$ w-
6. If the sign is to illuminated, check appropriate box.
Interhal ( ) , External ( ) , Spot ( ) , Neon ( ) , Flashing ( ) ,
Other ( ) .
7. Copy of sign t2Y `✓ .r, (-' C,� �r ,
8. Other information /0_, -c%r ,.air. G-Sti ,/"
.--z rz-a2:141 4/-7 rnec?..,t .0/ /-7-z. .,...--/
Qa.2._,LO Jakjit.ure of applic
.
,
Indicate Owner, Contractor,
• or Agent.
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