8631 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8631
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Dorothy Hammond
OWNER of property located at Burch Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dtaalla IM
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'S Address is R.D. #3 Burch Road
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
same
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3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECTS Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
alterations to dwelling per plot plan,
No. specifications and application submitted. r'
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8. Proposed Use
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One-Family Dwelling 0
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$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February l 19 85 E
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this l lth Day of duly 19 84 W
SIGNED BY A � for the Town of Queensbury
Building and Zoning Inspector C ,w