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8600 BUILDING PERMIT TOWN OF Q EENSBURY No. 8600 WARREN COUNT , NEW YORK PERMISSION is hereby granted to Mary and Charles Wood OWNER of property located at West Drive Street,Road or Ave.. a Alteration a in the Town of Queensbury,To Construct or place a Sewage at the above location in accordance-to application together with plot plans and other information hereto filed and n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Fi 1. OWNER'S Address is West Drive R.D. #4 N Glens Falls, New York :Z 0 0 a 2. CONTRACTOR or BUILDER'S Name Dan Galusha 3. CONTRACTOR or BUILDER'S Address BOX 10 Johnsburg, New York 12843 M cD 4. ARCHITECT'S Name W W fD N 5. ARCHITECT'S Address rh M t't W ('r H. 6. TYPE of Construction—(Pleass indicate by X) O ( )Wood Frame ( ) Masonry 1 1 Steel 1 1 7. PLANS and Specifications 1000 gallon septic tank, dist. ,x and 2 6'x8 ' drywells "°' per application submitted. B. Proposed Use rf• Sewage system for dwelling d n N- c M $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 27 19 86 (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.) Dated at the Town of Queensbury this 27 th Day of June 19 84 SIGNED BY e — for the Town of Queensbury Building and Zoning Inspe or