177 OFFIC-'E OF TAE ZIOT-41NG
177
s 1,ed �'Iq
lu a t e DenIed
Or Mr. & Mrs Harley Hermance
w N
East, .Side .Of Connecticut ',Av.epu��
Ad d r
Same as above
Swimming Pool in rear yard
XQU auqu QWW,,X IV,a y Y
Recreation
Ed Blair(Imperial)
4 bui "k(I I'l r da its, <I P.
r W
u e e 's 'u,r V ZO
December ,31 , 68
10.00
loan # 4
TOM OF QUEBNSBUA7t
Marren County, New York
Office of the Ding Iuspaataae
APPLICATION FOR
- A B-QILD- = PRR�.T
x Location of Property. .C6./We-C l,r.0, Road, Street, or Avenue
Owner Ir4o ::G:x. . .y`. 1 e T.-»�. e *'4V"e)1"Q0EEMN§URY
( D
�a3.lder. . . . , .. . . .6�11�. . ..�• .rnr:e Ad ::�.1) . . .. ... ... .. uL 5AgQ.
A.M. P.M.
�u�irnmir/ �mmf 1y-rr�ar�s�f 7181?11911112J1�21314�5�6
T'pw Of ..r�....••. ........ .. .. • • . •.•.. ..•..•. i..i.i .;..•.1r1 .
P to be 1� F Wade � Feet Long stories Sigh
, letiaated Cost of Building. . . . :. .... ........ ... . •.. . . ........
x Are There Any Other Buildings on the Premises?.•dati S:. . :. �i�.�•'�. .
,,-Is Any Existing Ruilding to be
x Ia the Work Now Construction, Repairs, or Remodeling?,wES T1 4 ��. «�.J.k9.
Three copies of a plot plan drawn to scale showing t1w actual dimNan
sions of the lot to be built upon, the exact size and location on the
lot of the building and acnessory buildings to be erected are attached
to this application.
The undersigned hereby agrees to comply in the said construction with
all tha provisions of the Zoning Ordinance as adopted, of the Town of
Queensburya
(If permit is granted it will be on condition that building or al-
terations shall be completed at date to be fixed by Zoning .Inspector,
and if not so completed permit shall be revoked by him.)
r • . • • r •••. . • . • . ! • • • • • • • . r • ! • • ! • • . .e e 6 .r e e a ! • • • • • • e . • • . . s!. . . . . • e w o 0 0 o a
1 hereby agree that all work and materials will be in strict con-
formity with the laws governing building in this Town, and further agree
to post conspicuously a copy of the Building Permit, protected from the
weather, on the premises affected.
// l^'
Si turn UUU
�•2 G et lC �� °r'. /� Owner, mar, Aiest t
�4 y�j ) (Strike out inappropriate Provision)