1983- Res. 210October 12, 1983
Mr. Jeffrey Jacobs
Reliable Racing Supply, Inc.
624 Glen Street
Glens Falls, New York
Dear D4r . ~7a~czh~
Your application to place a mobile home on 624 Glen
Street has been tentativel a y
y pproved b the Queensbury
Tc~,-n Board.
A permit will be granted after inspection by the Building
Inspector and upon compliance with water and sewage requirements
as stated in the Mobile Home ordinance.
You are requested to notify the Building Ins ector upon
completion of your installation so that the inspection can be
made and oermit issued.
QUEENSBURY TOWN BOARD
Resolution No.,210/10-12-83
This is a temporary mobile home permit for one year
to October 12, 1984.
TO~!V; ~ CJF QUEENS6URY
TOWN OF QUEENSBURY
WAF' ^ ''`I COUNTY NEW YORK
Application for
~~% ~ 5193 ~ ~,
A MOBILE HOME :~IiT:1IDE OF A MOBILE NOME COU~M. ,-`,~5~~ r-~~ ~` ~
,7IgISI1°1~.1111213I4) 56
Mail or bring this t ~-:s ication to
Building & Zoning DPgr~~ment
Queensbury Town Offices Building
R.D. 1 Bay Road
Glens Falls, New Yo-~ 12801
This application far Mobile Home Permit shall be
accompanied by a pl;,~ Dlan drawn reasonably to scale
showing all dimensions, the size of the lot, the location
on the lot of the Mobile Home, the water supply and sewage
system. If the appli:.ant is not the owner in fee of the
premises, then the app;lication must be accompanied by
the written acknowleds~ed consent of the owner.
l . ~e.~ ~ abler o~c ~ ~ _r~T ,1nc . ~S'~~,~ ~ r.3 s ~ ~ ~
Name of applican-.
C'J al ~ G--~PV1 ~1 ' \9-~-hS C~ q ~' 1 S r~. ,~ I Z ~ ~/ ~ l e ~' A e~AriCl~(~ /
Address TT
2 . Say ~-~~'r.L.~'• _ i3~~i ~ of Sv-S ic~ P ~ c~
Location of mobii.~• home premises by st eet or road, etc.
F~ . A~-~~rs-~ ~ •
Give nearest cros:~: street
3 . _._..S~Ina~ fo ~+ ~"Idu~CrnA dl
Name of owner of land
Owners address
4. State fully the reasons for this request
`f~ a ~
r o~;,~.n , tl~ .,,,,( t, e na,7",r cJ(~7r~ s~ 1,~,~,'C~ ~ S~f' (n 'i~~ mo r s
. ~ ~clinta. _ vn~r,sz~ni.._,^ csr' ~'~lGU! ~'~cr, Car, ~ QC'cmm~ ~;5~~,
.~.~' 'f-"r: , ~P r r . ~'_.'~ "are V~r~cd D ~..~ L/.SP~Q rG~ipv S ~ G ~
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.~~cr~, c,.,' Il ~ no+y~,~ Th~S iS nPr_pcsr,~Cyi ~r_~ ~~ r, ~,-~-a;~. ra~s~ntss
,,.
e, ro ~„-f-l~ "~ ~ ~ n ~ ~ T:r~o_~r~ n rsf(,Y~ is,cx~ av ~'n r ~ ~ ~ t : -~~ tx ~P . o rc~~
Use extra sheets if necessary
S. Description of mobile home, year, model, make, serial
~ and dimensions ~ ~,y; i~ - iq'~,,3z' ~ u~~,m era ~ %~
r,., ,~!-I•L. 9, or'fwl~ ~ ~r- - a .~nl U tn. ,"nQ' o ~:/.S • N o wA+c r .
~" s s igna t r e) -~~•
Address ~,a y G/~~ 5~-- ~ryi S ~i.~~iliy,,Zei~
THIS SIli~. r ~ %vai~a trt3~i~~t;~~~~.:b.. _.
.r ~ ....,.... _.......,,. .~w,..._.....~...._.~
Report of the investigation of Building Inspector and
recomaendations.
xx
Approved
Disapproved
0 th er : -
RPCOmmendations:-
~tecc?mmend ap~xaval AS this is a reasonable request.
~~
8 ~•
Hui ding Inspector
Action of the Town Board
Approved
Disapproved
Other :-
Hy Resolution Number of the Town Board of the
Town of Queensbury, Warren County, New York.
Dated this day of 19
S igned
(Town Clerk, Town of Queeasbury
Urf~E
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