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James & Carol B.West
83 W. Notre Dame Street Glens Falls, N.Y.
Cedarwood, Drlyp., Lpt_14,9, Tw#jApod,,,. -QUjeeAsbury
Dwelling-
;�PLYRPLr4: �Brooycs
83 W. Notre Dame St. Glens Falls,3 N.Y.
C' v 4 �j rq
atiml i.f�
4 Z
June, 30- --69
10.00
Fora # 4
TOWN OF QOERNSDURY
Warren County, now York
Office of the Ron tng Inspector
APPLICATION FOR A
� W7UrD�YINGPERMIT
Jd04
Location of • • o. . Road, Ptreet, or lAvteuie
A s s � cli- `es
.nr. 0i @a 4-4 wif-so . aP . a .l3 .
�e
. . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . ... . . . . .. .Permit No. . . . . . . . . . . . . .
�1"♦ ."e'i .�i•• • .-• P ..-• •�i . fssi•'�i�."iieT• M .'�f.�i"r • e • • • ► . s • • • aP . • or . •• . . .e . o ♦
Builder• ./."f •' � • •. i~s ./ • • w . • • • . .a . . .. • . . . . . . . . . . •. . . . .► • • .. . .. • • . •
Type of Building. . . .00 . o. • ♦/'v/01
7e . .• • . .. . .. .. . . • • ► . • a. . .e ►.. .. .. . . . • •
I
Building to be. .•�. �.. . . ,Feet Wide. ..ff •. .beet Long. . . . ...Stories High
Estimated Cost of Dexilding.,r ��,� wP. . .. .. .. . . . . . . . P . . • . .. . . . . .. . . . . .
proposed Use of building. ./. G4�e:`et : .. ... . . . . ... . . . . . . . . .., . • . . . .. . e .
Are There Any Other Buildings on the Alp . .. . . . . ... ... . . .ti . a .
Is Any Existing Building to be
Is the Work Now Coustructiong Repefts, or . . . . . .
.. . . . . . .. . . . . . . . . . . . . .. . . .. . . . . . .14. e .
Three copies of a plot plan drawn to scale showing the actual dimen-
sions of the lot to be built upon, the exact size and location on the
lot of the building and accessory buildings to be erected are attached
to this application.
The undersigned hereby agrees to comply in the said construction with
all the provisions of the Zoning Ordinance as adopted, of the Town of
Queensbury.
(If permit is granted it will be on condition that building or al-
terations shall be completed at date to be fixed by Zoning Inspector,
and if not so completer permit shall be revoked by him.)
RE��S 6• • . H V J i • • C . . .. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C O
• • • • • • • • w • • • a . ►• . • . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I hereby agree that all work and materials will be in strict crn-
formity with the Laws governing building in this Town, and further agree
to post conspicuously a copy of the Building Permit, protected from the
weather, on the promises affected.
a • . e • a .a • . a •� w o a • e s • . a . • a . o . a • e
Sigaature
• a . a a�d�. • • o . a . . + o . . . w • o e • a o e . •
Owner,
(StriRe out .nappresprfate Provi.s n)