8203 BUILDING PERMIT
TOWN OF QUEENSBURY No 8203
WARREN COUNTY, NEW YORK
4
PERMISSION is hereby granted to Johin Pohl a
OWNER of property located at 4 Cedgrwood Drive Street,Road or Ave.
in the Town of Queensbury,To Constructor place a Addition to dwelling (living area) �
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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. OWMER'S Address is 4 Cedarwood Drive
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Ken Collette
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3. CONTRACTOR or BUILDERS Addrew p,
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k?. D. #1 #455 �t
Hudson Falls, New York 12839
4. ARCHITECT'S Name
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5. ARCHITECT'S Address fG
6. TYPE of Construction—(Piesse indicate by X)
(3d Wood Frame ( ►Masonry ( )Stool ( ►
7. PLANS and Specifications
16 rx22 t per plot plan, specifications and
No. application submitted. N
8. Proposed Use
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One-Family Dwelling (additional living area added)
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$5. 00 C/O Paid a
$ 20. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES May l dg 84
(If 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.) i
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Dated at the Town of Queensbury this 31st Day of October Ig 83
SIGNED BY !/'1 .� Q, /✓�,Ct,c, for the Town of Queensbury
Building and Zoning I