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PreApplication Form
Area Variance Revised June 2009 r,. Pre-Submission Conference Form [179-4-0401 1. Tax Map ID 239 . 14-1-2 2. Zoning Classification WR 3. Reason for Review: Area Variance 4. Zoning Section#: I�6`S-©40 5. Pre-Submission Meeting Notes;Outstanding Items To Be Addressed Include: Deed Yes '�No General Information complete ;;�'Yes No Site Development Data Complete Yes ✓No Setback Requirements Complete Yes ✓ No Additional Project Information Complete Yes No FAR addressed Yes No Compliance with Zoning Ordinance Yes No Checklist items addressed Yes 7 No Environmental Form completed Yes No Signature Page completed Yes /No (C nrcCrA 2 c t. c t��Q.c�►�� G ��'C C�'c rl � Cl�t, S, G f G c�J(,�i► , Gfll�Y S Staff Representative:— C v 717 Applicant/Agent:, Date: \C -- Town of Queensbury-Zoning Office-742 Bay Road-Queensbury, NY 12804.518-761-8238 6