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8220 t. BUILDING PERMIT TOWN Of QUEENSBURY No. 8220 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gary E. Richardson Knolls Road North OWNER of property located at Street,Road or Ave. • 3 in the Town of Queensbury,To Constructor place a AelA i t 3 nn tn -dtsrpl 1 i ng (ti i ni nci rnnM 4porch) at the above location in accordance to application together with plot plans and other information hereto filed and 0• approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OVVNER'S Address is Star Route Box 138 Glens Falls, New York 0 2. CONTRACTOR or BUILDERS Name Ken Mattson 3. CONTRACTOR or BUILDERS Address Blind Rock Road Glens Falls, New York ,0- a. ARCHITECT'S Name m 0 a s� 6. ARCHITECTS Address Z O ' rt 6. TYPE of Construction—(Please indicate by X) ( $Wood Frarne 1 )Masonry ( )Steel ( ! 7. PLANS and Specifications 12'x30 r per plot plan, specifications and No. application submitted. 8. Proposed Use p, One-Family Dwelling (diming roam/porch added) �• rt lam• 0 $5. 00 C/O Paid $ 28. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 19 84 0 (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.) M F-' N Dated at the Town of Queensbury this 10th Day of Nme llber 1983 SIGNED BY Q. for the Town of Queensbury Building and Zoning w