8222 BUILDINC PERMIT
TOWN OF QUEENSBURY
.". No. 8 2 2 2 G
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dr. Alfred wi 7 1 Af•t rh
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OWNER of property looted at 356 Ridge Rclad Street,Road or Ave. a'
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in the Town of Queensbury,To Construct or place a Addition
at the above location in accordance to application together with plot plans and other information hereto filed and M
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. fi
1. OWNER'S Address is
356 Ridge Road
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Robert Borgersen
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3. CONTRACTOR or BUILDERS Address In
Kinds Road �
SariLtoga Springs, New York a
4. ARCHITECT'S Name M
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b. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by',X)
( )Wood Frame ( )Meaonry ( )Steel ( 1
7. PLANS and Specifications O'
enclosed porch per application submitted. rt
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8. Proposed Use rt
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One-Family Dwelling/office (porch) Q,
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$ 10. 00 PERMIT FEE PAID—THISPERMIT EXPIRES Jurie 1 19 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 Queansbury before the expiration date.) h0ii
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Dated at the Town of Queensbury this 0th Day of November 103 n
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SIGNED_ BY c r Q� for the Town of Queensbury
Building and Zoning Inspector