8027 BUILDING PERMIT
TOWN Of QUEENSBURY
_ 8
WARREN COUNTY, NEW YORK No. 027 '
PERMISSION is hereby granted to Wayne F. Vlele
OWNER of property located at Lot 5 Stephanie Lane (St. No. 9) Street,Road or Ave. g
in the Town of Queensbury,To Construct or place a One-Family Dwelling
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'S Address is •
Buttermilk Falls Road �C•=
Fort Ann, New York M
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2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDERS Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S b Address .,.�•
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6. TYRE of Construction—(Plaese indicate by X)
( Wood Frame ( ►Masonry ( )Steel ( ) M
7. PLANS and Specifications 2 6 r X38 per plot plan, specifications and
No. application submitted including sewage system.
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8. Proposed Use
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One-Family Dwelling
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$5. 00 C/O Paid
$ 4 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 1984 V
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M,
town of Queensbury before the expiration date.) 1-4
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Dated at the Town of Queensbury this 8 th Day of August 19 83 4
SIGNED BY Building for the Town of Queensbury
Building and Zoning Inspector