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Building Permit TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development- Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: AST-0802-2018 Tax Map No: 309.9-2-7 Permission is hereby granted to: Dish Network For property located at: 106 LUZERNE 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 Owner Name: 106 Luzerne Road,LLC Cell Tower $30,000.00 Owner Address: 443 West Mountain RD Total Value $30,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications Modification to existing telecom tower (Dish Network) $ 150.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,March 26,2020 (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 Town of Queensbury; 4/75(----�j Wednesday,March 27, 2019 SIGNED BY: �d for the Town of Queensbury. Director of Building&Code Enforcement