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2001-786 Evergreen Professional Park
TOWN OF QUEENSBURY s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 f�� iy Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010786 Application Number: A20010786 Tax Map No: 523400-301-008-0001-012-000-0000 Permission is hereby granted to: EVERGREEN PROFESSIONAL PARK For property located at: 453 DIXON 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: S D C ASSOCIATES Sign 453 DIXON Rd Total Value QUEENSBURY,NY 12804 Contractor or Builder's Name/ Address Electrical Inspection Agency K.D. WHEELER CUSTOM SIGNS 16 RICHARDSON STREET OUEENSBURY,NY Plans &Specifications 2001-786 EVERGREEN PROFESSIONAL PARK BLDG 1 2 FREE STANDING SIGN EACH 16.67 SQ FTAS PER APPLICATION TO BE PLACED ON DIXON RD AND THE CORNER OF DIXON AND POPLAR STREET $68.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Siiedinidwyribiliminimewilliella (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,' of Qu ns ry; :`sd. November 06,2001 SIGNED BY t. � '� \ for the Town of Queensbury. Director of Building&Code Enforcement ir,`` Fee Paid: TOWN OF QUEENSBURY ` 742 Bay Road, Queensbury, NY 12804 Approved By: (518) 761-8256 Permit #: a1 -2� SIGN PERMIT 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 Sb( a,Rp - I-i...7oAk3 5c,t4u-rzE ) bt7S , "IzooALt3. -be-1_51 �aee:DAJE ADDRESS 453 1)i0 -7 ?. tr7-E (p4S' TEL. 793_355 2) NAME OF APPLICANT 01-1...y /,Ji4E6L&C . ADDRESS Ito R t ( H -i i Stl T. ((PQy TEL. 793-026 BUSINESS NAME IF DIFFERENT: . b , GtJKEELE,e eit&7614 ‘SlAiS TYPE AND LOCATION Check What Applies: Existing __ Permanent "/ Projecting Sign Temporary Non-conforming Existing Free-Standing Wall __ New _✓.__ Location: Tax Map Number • Address _ 2/53Di Xo►J 2�R . L(E S('�Cl�'_y 11 X� Proposed Setbacks from Property Line (front) 15 (side) If sign is to be illuminated, please check appropriate box: IC)1aufkaiAdvp. Internal ( ) , External ('1, Incadescent ( ) , Neon ( ) , Other ( ) 1,L PV Size of Sign: Width 4011 . Length 5 — ft. Qt Total Square Footage: — Ito . A:.11 Pyildp 0 Sign Copy: v te_(- E -----Pti0FESSi e13A>_ 7 e Color and Material To Be Used: C e ) g \ hJ Si nature: Circle One: lira , 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 • , I., .. k".4ta_ s - o x.o • ofk) -e- OK.) --PopLA _ • EVERGREEN PROFESSIONAL PARK 543 DIXON ROAD , .100AL-1) J. 'Del_S -DAD, -PC Sc(.4(xi-%e 4.41/41 1-4 --DEK--nsTg>i , N • EE (3(.0-2- pEAL-n4 626 • NIN1 C'USTCSIGNS cuarr Ss_DRAWING# / 9144,...., 1/4,Yrju.d_zt_ DATE J /0 • . , .. ___., .„....,. •,.. '•;:.., (,....,,,, • ,..;,..', • . . NN:,'N • • .\ '.. •. • N . ...... ,s,c,p. • . / N o , . N\N\H'''''..\\•• .• • .•••• . :v•- ..---- -N- • . ,„, .‘ , , • • .„•i. „, .,......._, i1\•• , i • '\ ' * • ..' i,.' •. . ' ,• ,..- N., • ,/ .4.,' ..,„ / \ ..N . . , ....,/ . . , , . •/.></NN ‘ ' . . , .. , ^/./ '''/' •-"Y>. Z--. '16. .. 14 • •,,'N.•. iNN c' .%, , , si N .7 ,' ,.' '..• '. -E.-. . ../' FN..__........... , .. . '. \......."-----. ......----- ' .. N, -...• '''..•:• '''... '.- ' z• ::• N ..,• ••••,. - . Ae ;' • . / V • • .,," 1 • 4.,.., - 1. 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