waiver request letter June 8,2020
Town of Queensbury
Building and Code Enforcement
742 Bay Road
Queensbury, New York 12804
To Whom It May Concern:
This letter is to notify you that the septic system will be replaced at 16 Mayflower Lane, Queensbury,
New York within 6 months from the date of the Property Conveyance.
A completed application, site plan and check payable to Town of Queensbury for$2,000.00 are included.
Please feel free to contact me at 518-470-4940 if you have any questions.
/11,7k you
rey Campbell
County of Albany
State of New York
Subscribed and sworn to before me this 8th day of June 2020.
Notary hJ1,Lt7/7�(� '�-f l�ll:�/ CHRISTINE DIETRICK
NOTARY PUBLIC-STATE OF NEW YORK
No.01 DI6292811
My Commission Expires: << i41 Qualified in Montgomery County
I'ly Commission Expires 11-12-2021