8013 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8013
WARREN COUNTY,NEW YORK
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PERMISSION is hereby granted to John Shahay 9
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OWNER of property located at Route 9L Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addi.t'nn to dMl l j,Xjg (1 ;;x�area)
at the above location in accordance to application together with plot plans and odw information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is �?4, Oa 5c a A/
Cleverdale, N.Y.
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2. CONTRACTOR or BUILDERS Name
Joseph Roulier
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3. CONTRACTOR or BUILDERS Address it
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Box 3 01 � }
Cleverdale, N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
IN Wood From t )Masonry ( )Stool 1 ) a
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7. PLANS and Specifications
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161x24' per plot plan, specifications and 0
No. application submitted.
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8. Proposed Use a
One-Family dwelling (additional living area added) a},
$5. 00 C/O Paid
$14. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES jj ch .2 1 _
of a b nger period is required an application for an extension must be made to the Building and Zoning inspector of the �
town of Quaensbury before the expiration date.)
Dated at the Town of Queensbury this 3rd Day of &gust 19-11_ `Q
SIGNED BY for the Town of Queensbury
IlluildiRg and Zoning Inlilloctorap