8116 Genesis International BUILDING . PERMIT
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TOWN OF QUEENSBURY No R116
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Genesis International
lessee
(Carol . Brown Surprenant) �
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in the Town of Queensbury,To Construct or place a Wall Sign
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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. N
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1. OWNER'S Address is
Queensbury Tennis Associates
294 Bay Road
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
same
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3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name (,]
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5. ARCHITECT'S Address O
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6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
2 ')(8 ' on building to right of door per
No. sketch and application, submitted.
COPY: GENESIS INTERNATIONAL S,
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8. Proposed Use
Advertising H
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$ 15. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 1984
(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 21st Day of Sept. 1�3
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SIGNED BY I?' Gam' a , _g_-�. for the Town of Queensbury -.
Building and Zoning Inspecto C)
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- TOWN OF QUEENSBURY TOWN OF QUEENSBURY
RECIEliVE
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APPLICATION FOR SIGN PERMIT SE P 2 U 1983
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Application for a sign permit shall be submitted to .thta° °
Inspector in duplicate in 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.
%is1 Cffea47--sz&-oe2/: ONNFA OF THE PROPERTY
2. ADDR 9'.SG � ���aC, C,%S. i/S TELEPHONE NO.
3. NAME OF APPLICANT C ' o / P(A/
4. ADDRESS 'X ' /c91 4c1)('�C %Q /1 / TELEPHONE NO. &e,S'-.5 36
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5. LOCATION OF STRUCTURE OR LAND OF PROPOSED SIGN Y -5//y
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6. - SIZE OF THE SIGN (Width) Ft. (Length) S Ft.
7. If the Sign is to be two faced give the number of square feet of
each face Sq. Ft.
8. If the Sign is to be Illuminated please check, appropriate- box:
Internal ( ) , External ( ) 9 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 Ali) OC -
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
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11 Remarks or other information
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Signature of applicant, please Indicate
Date if owner, Contractor or Agent
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GENESIS INTERNATIONAL