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09-21-1967 OFFICIAL NOTICE REPORT OF NEW CONSTRUCTION (In compliance with an Ordinance of the Town of Queensbury) Mail or bring all three copies of this form Date...3eptembeT,,, ,a,., ,Q TO: JOHN O. WEBSTER, SUPERVISOR Chestnut Rldg ' Ilcl., P. 0. Box 86 N° 2034 Glens Falls, Aew York The undersigned hereby states that he intends to construct a building or structure, or an addition to an existing building or structure, on land in the Town of Queens- bury, as per the following information: PLEASE ANSWER EACH OF THE FOLLOWING QUESTIONS 1. M. N. Landau Stores Inc 330 W. 34th St. , New York, NY 10001 Owner of the land on which the proposed construction is to be done. 2• Known as Clark' s Discount Dept, Store, Upper Glen Street, Town of Queensbury, New York Location of the property. (by reference to street or highway) 3. Addition to Discount Dept. Store Sales Area Intended use of the proposed building or addition. 4. 450 ft- Indicate t.Indicate the approximate distance between such building and the nearest Town highway. 5. NO State whether or not you intend to apply to the Town Board for any change in location of any highway, or for the extension of existing water mains, if any, or for any other Town facility. 6. Any other pertinent information. Fi C nst- io Co Signed ....._..,/ ._... Partner �C!?D pie ��oer,or other authorized person) Jlo��e •r`SOo 0 l�Obs, Address ..._1 ...._t ©it....4tk.2 .0 ..._Box "f 41 to s °�Io°4o�$ -be a a'04, Oo Hudson Falls, New York _................._.._............_......._..._.._..............__............. ........._.......................................................... e o b N-i der gh ilfr Ahs Build ermit issued & Approved by: j� el T o,yir�,e oning & Bldg. Inspector b° eh : 9/22/67