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2004-657 Exotic Aquatics TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY-12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040657 Application Number: A20040657 Tax Map No: 523400-296-018-0001-005-000-0000 Permission is hereby granted to: EXOTIC AOUATICS For property located at: 63 QUAKER 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 Value Owner Address: OMALL FAMILY LTD. PARTNERS Sign 35 ORCHARD Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-657 EXOTIC AQUATICS 16 SQ FT FREE STANDING SIGN $32.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, September 03, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tov�n of Q ensb '�l , S tember 03, 2004 SIGNED BY \ for the Town of Queensbury. r .Y Director of Building&Code Enforcement TOWN OF QUEENSBURY Fee Paid: 742 Bay Road, Queensbury, NY 12804 Approved By: (518) 761-8256 Permi t #: o L�—L67 SIGN PER19IT APPLICATION THE FOLLOWING INFORMATION IS REQUIRED: 1. Detailed drawing or photo of sign. 2. Plot plan of location of sign. 3. Written consent of the owner of the building or land. OWNER OF PROPERTYC�1`}�� ADDRESS TEL. NAME OF APPLICANT ADDRESS mio, / TEL. 4 � BUSINESS NAME IF DIFFERENT: TYPE AND LOCATION Check What Applies: Existing __ Perm nent _ Projecting Sign Temporary No conforming Existing Free-Standing _ Wall —_ New —_ Location: Tax Map Numberac� Address Proposed Setbacks from Property Line (front) — (side) If sign is to be illuminated, please check appropriate box: Internal ( ) , External ( ) , Incadescent ( ) , Neon ( ) , Other ( ) Size of Sign: Width ; ( ft. Length 4 _ ft. Total Square Footage: — 6S Sign Copy: Color and Material To Be Used: Signature: Circle One: Applicant, owner, contractor or agent. I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING. Signature of Property Owner: ORIGINAL-Office Copy COPY-Applicant 1 �� TOWN OF QUEENSBURY Fee Paid: 742 Bay Road, Queensbury, NY 12804 Approved By: (518) 761-8256 Permit #: SIGH PERMIIT APPLICATION THE FOLLOWING- INFORMATION IS REQUIRED: 1. Detailed drawing or photo of sign. 2. Plot plan of location of sign. 3. Written consent of the owner of the building or land. OWNER OF PROPERTY 2- nsAuck ADDRESS TEL. NAME OF APPLICANT 1 ADDRESS TEL. SD BUSINESS NAME IF DIFFERENT: TYPE AND LOCATION Check What Applies: Existing Perm nent Projecting Sign Temporary . No conforming Existing Free-Standing Wall New Location: Tax Map Number - _ - Address + Proposed Setbacks from Property Line (front) _ (side) If sign is to be illuminated, please check appropriate box: Internal ( ), External ( ), Incadescent ( ), Neon ( ) , Other .( ). Size of Sign: Width ft. Length U ft. Total Square Footage: Sign Copy: - Color and Material To Be Used: Signature: Circle One: Applicant, owner, contractor or agent. I HEREBY AUTHORIZE APPLIC T O PLA . .SIGN ON MY PROPERTY. S A -U O P NER WHITE COPY — OFFICE USE PINK COPY— APPY-WAUT ,c--5 I aX F11/1 tie r ---�-7 AuG pOo [ADD � o C��Oo �'UC� G°aQMGaURC�� o POM[�UaD 620p4 � �ANp��O�Qy o � ROo MNUMHO o UH � IPSHID) (:GMW§ 0 Mn9AUM MaU MG°3MO Lq �v � a 0 � o�