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Pre-Submission Meeting Notes Town of Queensbury Site Plan Pre-Submission Conference Form / Section 179-9-040 1. ApplicantName: ���(� ✓1 '�1 d UJL"''' _ C- 2. Tax Map ID 296.17-1-35 Location: 871 US Rt, 9 3. Zoning Classification CI 4. Reason for Review: S. Zoning Section 6. Pre-Submission Meeting Notes: Provided Outstanding; Please provide by Deed General Information complete t/ Site Development Data Complete a� Setback Requirements Complete Additional Project Information Complete �/W7' FAR addressed f/ Requirements for Site Plan-Standards Checklist items addressed V Enviromnental Form completed Signature Page completed .�'� lfCeZ � : �f^�tJ.-'�-'� '�'t�.�;�•.��_ �'� u�l.�'If� ��� ���;�'�� ���L�G�,1.`1C�c 1tc3 pec(�S� J04 c vl\te f CooMle C . �Ta\lC n k PW✓I fk-e C f k-) P_d C� �Q - M GL-t-CA Cu C C,e r1� i J-nMNt c c Staff Representative: tavT r! 0 Applicant/Agent: 4�7Date: 8 Site Plan Review application-Revised October 2016 Town of Queensbury Planning Office-742 Bay Road, Queensbury,NY 12804