certificate of compliance �^ TOWN OF QUEENSBURY
� 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
--__ Community Development - Building & Codes (518) 761-8256
CERTIFICATE OFCOMP 1ANCE
Permit Number: SEP-0 184-2019 Date Issued: Tuesday, May 14, 2019
This is to certify that work requested to be done as shown by Permit Number SEP-0 184-2019
has been completed.
Tax Map Number: 302.14-2-49
Location: 95 DIXON RD
Owner: Dave Stewart
Applicant: IBS Septic
This structure may be occupied as a: Deep Hole Test Pit
Septic Alteration By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the /% -----
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.