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8679 BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. 8679 •o PERMISSION is hereby granted to Robert and Kathar 'n tr M OWNER of property located at bot 568 FOX Hollow Lane (Gt '�R 1 Street,Road or Ave. rt section 14 Westland Subdivision) in the Town of Queensbury,To Construct or place a One—Fami at the above location in accordance to application together approved and in compliance with the Town of Queensb Building and Zoning ng Ordinance. ns and ot1 Information hereto filed and` s W ct 1. OWNER'S Address is Athol, New York a K ia• M 2. CONTRACTOR or BUILDER'S Name z N fi Martin C. Mosher a K 3. CONTRACTOR or BUILDERS Address f�+ ct 15 Greenway north Glens Falls, New York 4. ARCHITECT'S Name li En0 rtLn rt 00 5. ARCHITECT'S Address to 0 co .� x 5. TYPE of Construction—(Plesse indicate by X) 0 i-+ ( Wood Frame ( 1 Masonry ( )Steel ( ) O E 7. PLANS and Specifications r 76'x28 ' per plot plan, specifications and No. application submitted including sewage system 0 and two-car attached garage. 8. Proposed Use One—Family Dwelling $5. 00 C/O Paid 0 192. 00 M $ PERMIT FEE PAID',—THIS PERMIT EXPIRES March 1 1985 (If a longer period is required an sppiieet'�¢n for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) F+. �C Dated at the Town of Queensbury this 71th Day of_ August 1984 G E M SIGNED BY for the Town of Queensbury Build Ing and Zoning inspector 1+- W