07 ai SIGN PERMIT APPLICATION UL vie — PLANNING BOARD APPROVAL REQUIRED goer icicle
Office (858) 872-7028 » Fax (585) 872-1352 ° planning-zoning@websterny.gov..« Of conn
EC Lackowanne, MY ly2is
dy Address:
Address:
E-mail:
project /SignName Seve. rev projectaddress: 135 Horl Q) j
Quantity: SIGNAGE INFORMATION Dimensions: ; Temporary Sign { | Attached XK] #:_b Building Facade Height: i’ ¢”
Free standing Cl #: Building Fagade Width: 44-4" wi Avan, Permanent Sign D<]
Bidg. Facade Area (sq. ft.): 364.\\_ | (Planning Board approval Is required
Single Sided eal See Seawiiys for all permanent signs) Double Sided [_] Sign Height: Direction(s) the Internally Lit [3] Sign Width: sign will face
(circle allthat W Externally Lit [| Total Sign Area (sq. ft.) : apply) No Lighting [3] Height from grade:
Description (sign type, colors, materials, illumination type/source, etc.) : Nuaainun , Racal ‘ od LE Dy
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 compl : " itions and terms of approval.
7 flere Date Oftice Use Only; SBL #: Zoning District Fee: Paid by: cashl_Icheckl_]
Permit is hereby granted under the following condition(s)
Application approved/modified by PB/ZBA on
No. of copies: raf
e Completed Sign Permit Application 10 e Letter of intent (project description in applicant's own words) 10 e instrument survey map provided (freestanding signs) 10 e Colored images of signage (max. size of 11"X17”) 10 e Non-collusion disclosure signed 1
e Overall height of sign above grade (not to exceed 6 feet): e Date of Planning Board meeting (if applicable)
e Decision of the Board:
« Variance Requested: e Decision of the ZBA:
All meetings start at 7:00 PM at the Town of Webster Board Room located at 1002 Ridge Rd. The Town of Webster Planning Board, at its own discretion, reserves the right not to hear new applications after 10:30 PM on any regularly scheduled meeting day. The hearings will be rescheduled to the next available meeting.
The applicant hereby makes application for the aforementioned sign(s) and agrees to construct said sign in conformance with the plans submitted and approved by the Town of Webster and agrees to remove all signs granted hereunder if use of the premises discontinued for a period exceeding 30 days or if notified to remove said signs, as ordered by the town representative.
7/22/#
Applicants Represen
Office Use Only
$50.00 base fee per sign + $1.00 per sq. ft. per sign (max. of $200 per sign) Amount due:
Payment Method: [| Cash = Check Special conditions:
Approved by:
12/2024
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 Seuts brew Cf Se
(Project Name)
(Signature of Authorized Representative)
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12/2024
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