97-3151 R.B.M. Truck Parts -
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Fee Pdid:
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TOWN x��7������7��/
742 Bay Road, Queensbury, NY 12804 Approved By:
/5}8\ 76] Permit #: /
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SIGN PERMIT APPLICATION
THE FOLLOWING INFORMATION IS REQUIRED:
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NOV _ -� � �����
l' Detailed drawing or photo of sign'
2. p]Ot p]dO of location Of sign.
3. Written consent of the owner of the building Or lan
OWNER OF PROPERTY
ADDRESS TEL.
`
NAME OF APPLICANT
`ADDRESS TEL. '
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
Check What Applies: Existing Permanent Projecting Sign
Temporary Non-conforming Existing
Free-Standing _____ Wall New ____'
Location: Tax Map Number
_ _- ____- _�___
Address -_-
Proposed Setbacks from Property Line (front) (side) /
If sign is to be illuminated, pl8O5S Check appropriate box:
Internal / ' , External / \ , IDcade3cent / \ , Neon / \ , Other
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Size Of Sign: Width Y ft' Length ft.
Total Square Footage:
Sign Copy:
Color and Material TO Be Used:
Signature:
Circle One: Acant, owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO PLACE A SIGN ON MY PROPERTY OR BUILDING.Signature of Qf Property Owner: —
ORIGINAL-Office Copy COPY-Applicant
'
BUILDING RERMIT
TOWN OF QU.EENSBURY
VALUE $ 0. No.
TAB MAP NO. Ill. -1-7 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted tomsk MOTORS
OWNER of property located at 1 9 7 nTy ntf! Street,Road or Ave.
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in the Town of Queensbury,To Construct or place a WA—rR7 Z 6 GN
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
410 DIB AVENUE
-- QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECTS Address
6. TYPE of Construction_(Please indicate by X)
l )Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
32 8Q. FT. WALL SIGN AS PER PLOT PLAN SPECIFICATIONSwuzz
8. Proposed Use Y
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n.•;v i g, {� Fi Air. ,:,� - - it ft' � h 7 Ti 7,3 A ?".`"'""t''iT•'a`. dr�ra�
qr;�i�4^.�sq'. 1«�'s�??:�,r.&•,w i�aekad ��fuli�...w�.uatftr.�.3u,4m .d.�'af:r �.m�.':�'s�1e+ 1:Lksk�.`A YI CL+a�,� uu�viyh�,J.ar1...®it,„'LuS.++Lko+.'�$d%•sw�hA a:1rt�...7+n��-�'Gtt�'..c �t�yN�i� ,•
$ PERMIT FEE.PAID THIS PERMIT EXPIRES 9
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 4
town of Queensbury before the expiration date.) k
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Dated at the Town of Queensbury this Day of , 19
i
SIGNED BY for the Town of Queensbury
Buildup nd Zoning Inspactof
TOWN OF QUEENSBURY
BUILDINCT PERMIT NUMBER ?
1. BASIC/BUILDING PERMIT INFORMATION: A
Applicant/N. Tame & Address Agent/Name & Address'irR
agent
NUMB R:
Y c4m
q
1
0
2. PROJECT DESCRIPTION: _ _ -_ _�________-_-
-------------- - ---- -
�. ___ plot plan (2 copies)
fildina
----------------------------------- ------ plan
(-)
------------------
----------------------- sewage disposal
----- energy code
3. PROPERTY INFORMATION: []electrical inspection
adriveway permit
■ _ _ �leted/signed
O-F�E PAID
Front Yard
Front ( if corner) N5W CONSTRUCTION
Side Yard (1) ADDITION
Side Yard (2) ALTERATION
Rear Yard MODIPICATION
Width
Depth
� SICTN
NO NIA
PROPERTY IS IN APPROVED SUBDIVISION
fleets depth, width & square footage requirement
Preexisting, nonconforming lot with proper setbacks
Required road frontage on public road
Has required off-street parking
Permeable area is adequate / [Required: o
Building does not exceed maximum height / Max. ft.
Required setbacks from stream, lake and/or travel corridor
meets requirement
Buffer zones required _______________________
Is lot in a Flood Plain Zone?
4. STAFF DETERMINATION:
As per Section(s) of the ] Zoning ❑ Sign L] Subdivision
Ordinance Ordinance Regulations
•
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5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS:
ACTION! FILE NUMIDER RESOLUTION! DATE
Use Variance
0 Area Variance
❑ Sign Variance
❑ Other
Comments:
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6. REVIEW REQUIRED BY PLANNING BOARD:
ACTION _FILE NUM2ER RESOLUTION DATE
0 Site Plan Review
Subdivision
❑ Planned Unit Dev.
❑ Other
Comments:
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D = s =gal
nAa
2
APPROVED
Application
DEC 1 i9-07
Zoning Ad'��ri5tr AY
TMAM Of QU :EN'.�B
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