TOWN OF WEBSTER
SIGN PERMIT APPLICATION
PLANNING BOARD APPROVAL REQUIRED Office (858) 872-7028 * Fax (585) 872-1352 ¢ planning-zoning(@ websterny.gov
Applicant/Contact Person: \HSEO
Core RE Address: $6Q ‘Phillips ret , webster PY Phone: (S286) G624- Il2o0z oo eemall: i Shepp ore @ First |eornints Oc,
Contractor (if different than applicant): Name: Clrwakd Dians Address: Jos \inwin Peey Emsr Coches | Phone: (Ss) 381 - 2/34 E-mail: _ Comer © elward Sign Solutisns. co
Project / Sign Name Ges a Lor Project Address: 360 hiitios fa. } ( pebshe~ ME 14550
Quantity: | SIGNAGE INFORMATION
; Temporary Sign ea] Attached Fgh aaa Building Fagade Height: 4 Free standing Ra # : i Building Facade Width: 220" Permanent Sign l A |
Bldg. Facade Area (sq. ft.):_ 7 (Planning Board approval is required Single Sided Wal for all permanent signs) Double Sided [|] Sign Height: _ 32" Direction(s) the Internally Lit [%<] Sign Width: — \444" sign will face |
! 32) (circle allthat >
Externally Lit [| Total Sign Area (sq. ft.) : cs apply)
No Lighting [ ] Height from grade: 1S)
Description (sign type, colors, materials, illumination type/source, etc.) : |
OBC x\tw LED Sg~ oon Mok to blec fe) 415 1 £64" dios. Dav | AD UAst ae St ee ee
By the signature below, on behalf of the applicant or owner, | hereby authorize representatives from the Town of Webster to enter the above referenced property, during normal hours, for the purpose of conducting inspections of the proposed construction/activity, as required by applicable law, rules, regulations ordinances and orders. | also certify that the information supplied on this application is complete and accurate, and that the project described, if approved, will be completed in accordance with the conditions and terms of approval.
CFZ Loge aw Yrfes
(Signature of Property Owner or Agent for Property Owner)
SBL#: Bigg) icc) Se Zoning District: «| 2 Paes hee?) t Paid by: cashL_IcheckL_] Permit is hereby granted under the following condition(s); 3
_ Application approved/modified by PB/ZBA on
NON-COLLUSION DISCLOSURE PURSUANT TO SECTION 350-104 | OF THE WESTER ZONING ORDINANCE
TO WHOM IT MAY CONCERN:
No officer or employee of the State of New York, County of Monroe or Town of Webster has any financial interest in the land affected by or in the partnership making application for the project known
as Cac ©. eo (Project Name)
(Signature of Authorized Representative)
TISItS
12/2024