8541 f
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8541
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Terry M. Or leman
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OWNER of property located at Lot 27 Michael t s Drive Street,Road or Ave.
(Sheman cres u vision n
in the Town of Queensbury,To Construct or place a One-Family Dwelling
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. 0
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1. OWNER'SAddress►s 11 June Drive
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Leslie Carpenter
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3. CONTRACTOR or BUILDERS Address O
P. O. Box 309 `}
Warrensburg, New York 12885
4. ARCHITECT'S Name
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5. ARCHITECT'S Address �
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6. TYPE of Construction—(Please indicate by X)
(X Wood Frame 1 ) Masonry ( )Steel ( ►
7. PLANS and Specifications
26 tx32" per plot plan, specification$ and
No. application submitted including sewage system.
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8. Proposed Use M
One-Family Dwelling ►�
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$5. 00 C/O Paid
$ 98 nn PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 1985 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (£D
town of Queensbury before the expiration date.) 1--
Dated at the Town of Queensbury this dt hDa of
pay ,717 nE+ 19_U_ tq
SIGNED BY 0 for the Town of Queensbury
Building and Zoning Inspector
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