161 un e.
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Franklin V. La Deau Jr.
47 Sweet Road, Glens Falls, N.Y.
Same as above
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Root cellar & Patio
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Owner.
tf% ta fsecoby --he Ah":sve fox the CC-A-
Pacember 3T `4 ,68
2.00
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TOWN OF QUEENSSURY
HE 0 D WE 0
D
J U N 211968 Form # 4
A.M. P.M.
7�8�9i10�11�12�1�2�3�4�5�6 TOE OF QUE, SUM
Warren County, Now York
Office of the Boning Inspector
APPLICATION FOR A WUDING PEDUT
Location of . .. ..Road, Street, or Avenue
gEee� 19A.
FAO. .. . •. .♦ • • . .. •). .. .l .✓e • . . . .....• . .. . s . .r. . . . ..-s.�•/•J.. .• .. •
VS.ite'�.�. .:Tf !�: ,fY .'V:l�•1 • . .'. .`I�.`i's i�.�..•..."_. .�.�• • . .�:0 0 ./.�.�: . 9* 9 00 *d/ 5..r . . .
Architect. i-f .A • • • . . . • • • • . . .. • . . ... .. . . • •. . • . . • • • • .. • • . .. •• .. . .. . . • • .•
Builder. .Y� e ! • .%' (... j Q I . . (. .. . . .. .. .. .. ..• • .• ... • • • •
Type of Building. .
i
Building to . . .Feet Widae... ..�Io o o Feet Long. . . .. ...Stories High
. a a"V o spa
Estimated Cost of llaWing. x . ...... . ::. .... .... ..... . . . .. . . . . . .... . .
Proposed Use of enilding �'•1 �'-� P c 414- 74 •. •+:
Are There Any Other Buildings on the Preaises?..�..... .. . .... • .
aiP
In A Existing Building to be Dowlished?a.". . •• .. ... . ... .... ... .. ...O.
Is the Work New Construction, Repairs, or R wdeling?r" -jn' . . r . . . .
Date Building Permit Shall Espire.. .... . .. ... . .. . . .. . . .. . . .. .. . . . .19. . .
Three copies of a plot plan drawn to scale showing the actual dimn-
sions or- tine lot to be built upon, the exact sine and loe:ation on the
lot of the building and accessory buildings to be erected are attached
to this application.
The tvad+ersi.gned hereby agrees to comply in the said construction with
all the provisions of the Zoning Ordinanee as adopted, of the Town of
queenabury.
(If permit is granted it will be on condition that building or al-
terations shall be ccsmpleted at date to be fixed by Zoning Inspector,
and if not so completed permit shall be revoked by him.)
REKAM O. . . . . . . . . . . . . . .
. • s . • • • • P • . 1 • . • • ♦ • • • • r • • O r . L O • • ! • . e . • O • . • O O o
. O • • • • • O • . • . . • • • • • • . • . • 1 • . . • P • . • • • . O O • • 1) O O O • i f . . • O . r O• • . .! P • • . f V • O 6 O '! O
O • • w . i O • O • . . . • • . W • • e • 9 . • . . . . r . • • O . • O . w O • . . i> ! . • • . . . . • . • • O . . P • • . • O • • • U O O
I hereby agree that all work and materials will be in strict card
formivy with the laws governing building, in this Town, and further agree
to post conspieuously a copy of the Building Permit, protected from the
Bather on he promises affected,
61 c/ _ 1 $< f`7� �7/ Signature
ca5 �i
- - _- - - - - • .. . . . . .. . .e • . • o .. . • a • • • . . . .