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SIGN-000135-2018 TOWN OF QUEENSBUR-Y 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development - Zoning Department (518) 761-8256 SIGN PERMIT Permit Number: SIGN-0135-2018 Tax Map No: 296.19-1-34 Permission is hereby granted to: Christine Cerro For property located at: 383 BAY RD in the Town of Queensbury,to construct or place 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. Type of Construction Owner Name: Christine Cerro Sign-Wall $0.00 Owner Address: 383 Bay RD Total Value $0.00 Queensbury,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans&Specifications Wall Sign 12.08 sq.ft. Sign Copy: Support Link Inc.: In Memory of Mark E.Needham Location: architectural front of building over picture window $ 36.24 PERMIT FEE PAID Dated at the Town 7ofQue sbury; Wednesday,April 4, 2018 SIGNET BY: for the Town of Queensbury. 0 Zoning Administrator i ?� r 41 Office Use Only i Town of Queensbury Building &:Cod Received: SIGN PERMIT APPLICATION u :APIRTax Map iD: v'L� l`1 - 3` Permit No.: TOVvi q r Permit Fee: Date `�/�o Applicant �Xf L,i Tax Map ID � o"Z�(ot /� Address" /�3 Zoning CommeCCI l t. n� _� m 1 �5y f✓ UL t__ Property Owner F�t�""�L—f Contractor ge t. � �Z-Nl. Address Address I go l�rr 2" p% aelznr-)bL .� 12104 Phone Z ` Phone SI$ "1 T 0 Contact Person for Sign Code Compliance:C�2t5't� e s Day Phone:St?`2 q9 a-q-R X3 Building Street Address: Site Plan,Variance,or Subdivision Approvals Location of proposed installation FAp� WtNA-Dv----C Business Complex/Plaza/Mall name ►4 Business name G Type of Sign proposed QUt If sign is to be illuminated,indicate Pr _internal external Incandescent _neon other Do signs currently exist on property? Yes J,No(if yes,list all existing signage) Change of word/copy rom to Sign Wording I SPY L► -Fc,jc it o Mir Sign Size Length 6]r4 x Width �`� =Total`sq.ft., Sign Height(freestanding) n{) ? Color&Material to be used (, i -� vp n This application creates change in the New following existing site conditions(fill in all Change in number of signs from to applicable spaces) Change in setback for sign from to Change in size from to Change in height of sign from to Declaration: To the best of my knowledge, the statements contained in the application, together with the plans and specifications submitted,are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Zoning Ordinance,and all other laws pertaining to the proposed work shall be complied with,whether specified or noted,and that such work is authorized by the owner. i �^ APPLICANT-PRINT NAME cam t\fl. APPLICANT-SIGNATURE: Date: o� I plc Declaration: I hereby authorize the applicant to place a sign on my property or,buil m : OWNER-PRINT NAME: 10% jv OWNER-SIGNATURE: ' Date: Town of Queensbury Building&Codes Sign Permit Application 518-761-8256