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08-20-1967 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 Dat&z7.toat..........2.0...........1.9f 7........ TO. jORN 0. TFEBST17 SLID ,RT,71SOR jtcre 4105 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. Thomas Meath Owner of the land on which the proposed construction is to be done. 2. 36 North Road Glens Falls Location of the property. (by reference to street or highway) �— 3. Garage & Store house Intended use of the proposed building or addition. 4. 300 ft Indicate the approximate distance between such building and the street or highway. 5. 6. No, N0. Will a water tap be requested? Will a highway permit be requested? 7. 8 RX2 1247 Your telephone number Any other pertinent information This Constriction Roport Acceptable: Ki -sley ros Plans made d reported prior signed &�� - ----- - ------- ---- --- to the adpp ion of Queensbury wne=,or other auth V""- edperson) Zoning Ordi an Address ---..--Glenwood Ave. --------------- ----------------------------- ---------- - oning & Build In pector .......... -dens....Fa ................ - 9�20 -- If intended cons uction will require any excavation in a town highway right-of-way (such as a water main or sewer connectio a permit must be secured from the Queensbury Highway Department, 2 Aviation Road (Tel. RX 2-29 9) PRIOR to such excavation. i If a water tap will be requested, application should be made to the Queensbury Water Department, R. D. 2, Lake George Road, Glens Falls, N. Y. (Tel. RX 3-3500) at least 48 hours in advance to enable scheduling of the work.