8215 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8215
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WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to S'�.'� ,,� �--�..�...,,�_ Warren z
(Section 14, Westland Sub. )
OWNER of property located at Lot 569 Fox Hollow sane Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One-Family Dwelling A
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. i
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1. OWNER'S Address is �
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2. CONTRACTOR or BUILDERS Name
Paul Sokol
3. CONTRACTOR or BUILDERS Address
Spier Falls toad o
Gansevoort, New York rl'
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4. ARCHITECTS Name uD
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5. ARCHITECTS Address x
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6. TYPE of Construction—(Please indicate by X) N
(}j Wood Frame ( ►Masonry ( )Steel ( ) m
7. PLANS and Specifications 51'x68 t per plot plan, specifications and
No. application submitted including two-car attached
garage and sewage. system.
8. Proposed Use
One-Family Dwelling o
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$5. 00 C/O Paid
$ 164. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 f9 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1~+
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 10th Day of November 1983
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SIGNED BY �+ for the Town of Queensbury '
Building and Zoning i