8472 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8472
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas and Gail Hazelton
OWNER of property located at Tee Hill Road
Street,Road or Ave.
H
Dwelling
Q in the Town of Queensbury,To Construct or place a One-Familyg
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.
t. OWNER'S Address is p. O. Box 1128 a
South Glens Falls, New York 12801
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2. CONTRACTOR or BUILDERS Name x
iy
same m
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3. CONTRACTOR or BUILDERS Address 0
same
4. ARCHITECT'S Name
H
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5. ARCHITECTS Address fD
x
6. TYPE of Construction—(Please indicate by X) �t
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(20 Wood Frame ( )Masonry ( )Steel
7. PLANS and Specifications
24 'x68 ' per plot plan, specifications and
No. application submitted including two-car attached garage
and sewage system.
8. Proposed Use O
One-Family Dwelling M
$5. 0 0 C/O Paid
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$ 143 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 1984 1<
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of te t7
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town of Queensbury before the expiration date.) N
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Dated at the Town of Queensbury this 9 th Day of May 19 84
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspector