2001-099 The New Wave Hair Studio •
Fee Paid: 0�
TOWN OF Q L EENSB URY
•
742 Bay Road, Queensbury, NY 12804 Approved By:
(518) 761-8256 Permit #: •9_
ICD
SIGN PERIIT APPLICATION RECP[I '
20016
THE FOLLOWING INFORMATION IS R° Qi �J r 1
BIJIL®IfV(; ��P� �
1. Detailed drawing or photo of sign. - �PdDt�r��
2. Plot plan of location of sign.
3. Written consent of the owner of the building or land.
OWNER OF PROPERTY �, j L L l0
ADDRESS 2/S ape/ t no," Ivy h20-/ TEL.
NAME OF APPLICANT 1ltw wCli_ J r L,.4)
ADDRESS `�/ c, zt_ppy,K TEL. 7L4 —Snc) I
BUSINESS NAME IF DIFFERENT:
TYPE AND LOCATION
er
Check What Applies: Existing •16 Permanent Projecting Sign _ C
Temporary Non-co • frig Existing _ - bL \r�s•S
Free-Standing w r
6-1,/.4cL:f_
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 / I VI ft. Length 7 ' ft.
Total Square Footage: 1 3 .•1_14
Sign Copy: eke ill-i.J j,UC� f4-�1 .S 1G , lc /_ J'
Color and Material To Be U ed: 7 e,- jCO/
Signature: UV ��
Circle p lican ,; owner, contractor or agent.
I HEREBY AUTHORIZE APPLICANT TO E A SIGN ON MY PROPERTY OR BUILDING.
4/7
Signature of Property Owner:
ORIGINAL-Office Copy COPY-Applicant
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RECER/E0
MAR 1 3 2001'
1 OWN OF Y
_ Welcome T QUEENSBUI3 BUILDING AND CODE
Walk ins
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761 . 9001
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