APA Referral AV 21-2022 (Reds LG LLC) 7.20.22Town, of Queensbury - Variance Referral to APA
Agency -approved Local Land Use Program Referral
Please use this form as a cover sheet for any correspondence associated with a variance referral to the
Adirondack Park Agency as provided for in the Town's Agency -approved Local Land Use Program.
Send this cover sheet & variance referral record to:
Adirondack Park Agency, `/o Local Government Services, PO Box 99, Ray Brook, NY 12977
or fax to: (518) 891-3938 or email* to: LocalGovernment@apa.ny.gov f
From: e'ali I l11-o ,-1 Title:. 2-0 �',rt „� f,,�4,,- Date Sent: 3 I d�-
The Adirondack Park ALYency is hereby notified of the receipt of a variance referral record.
Applicant(s): ��� s L i -
.l. ' � �(-� Yar. Application #: �-l1
Parcels) -3e1. 1 17 - I / 5- (tax map #)
For: 10 Area Variance
Local Zoning District(s):
The variance involves (check all that apply):
❑ Use Variance ❑ Septic Variance
APA Land Use Area(s): ❑ Unknown
❑ Hamlet ❑ Moderate Intensity Use ❑ Low Intensity Use
❑ Rural Use ❑ Resource Management ❑ Industrial Use
Shoreline SetbackC_c-;,>Pmwe,_-e -)0 Density MFront/Rear/Side/Road Setbacks
❑ Shoreline Lot Width ❑ Lot Size ❑ Road Frontage
❑ Dock/Boathouse ❑ Structure Height ❑ Maximum Lot Coverage
❑ -Other Shoreline Requirements 0 Other' 6xj1<L-5i'o= �F' nor+co.. 'rM•'��� 5� c
The attached correspondence contains:
53' l&otice of Application CYApplication Materials
❑ Record of Decision / Decision Date:
@"Postponed/Tabled (until:
La'Meeting Minutes
❑ Granted ❑ Denied
Denied variances do not need to
he referred to the Agency
Thank you for your assistance in helping to keep the variance decision record complete.
ForAgency Use:
Log #: LV
Cross References:
Agency Date Stamp - Received:
*Note referrals submitted via email may require follow-up with paper copies. Revised: 8/2017