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Building PermitBUILDING PERMIT TOWN OF QUEENSBURY No. 5921 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Robert Maltbie OWNER of property located at 17 Cedarwnnd nriyp Street, Road or Ave. in the Town of Queensbury, To Construct or place a Sewage Alteration at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'SAddress is 17 Cedarwood Drive Glens Falls, N. Y. 2. CONTRACTOR or SUI LDER5 Name Jay Sweet 3. CONTRACTOR or BUILDER'SAddress R. D. #1 Lake George, New York 4. ARCHITECT'S Name 5. ARCHITECT'SAddress 6. TYPE of Construction — (Please indicate by X) 1 ) Wood Frame ( 1 Masonry ( 1 Steel 1 1 7. PLANS and Specifications seepage pit and #3 stone per application submitted No. 8. Proposed Use Sewage system for dwelling $ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Oct. 1 19 79 Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 2/6�th_T�)Day of ��June 1979 SIGNED BY /f-� A"p- V • O� z-t" �1 f.Q/ for the Town of Queensbury