178 U F�I . I,� O f �� E Z.i'1�I CHIC 'I N+I 4F EI`TC R
: a l e July .15, �968 _ o
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Mr., Robert O
r
q Lot. #1+4, Twicwo.od
Town of, Queensbury
s Dwelling
R.Ruggles
# 5 Wincrest Drive
R. Ruggles
# 5 ,Winerest Drive
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June 30' 69
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TOWN OF QUEENSBURY
0 E � w E. D --rowN OF QuErymair Form 4 4
.Illl 1 91968 Warren County, Neva York
7�8�9i10�11�i2�1�2�3�4�b16 office of the ficeing Iuspa&-tav
AFFLlCATlM FOR A Wn— b:Nfi i'Eiti+r.
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'Location of rrop*rty-,e-rwd w.,vx. e �- c�a�t -street, r,rk Avenue
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Av There Any O.tberr Buildingit on the 1-12.. i st ?
�y y� yy��!!/yaI�_��FF By gay yq `�'',�y '+ry��y py/y�■f �`ry{'��' m o � it 4ri•)r a c � c � •• • r c Is Any Ext isti-a � ki td Ing r4R✓ Nair �w fF�rPJRipJdMi-d?,{ t ar C F lr N lr 2 Q N M 'r S 9 A q J 4 i
Is the Worl� New Cotistxuction,, Repairs, or R-AWL-jeltag
Date J14i ng, F.*, jt Shall
ogee copies of a plus: piza dxa,m to; sc*le arhwinp the. *c-tuaj 01wen-
PiO-ma of the lot to be built; upon, the exact size atrve. Imation M► the
lot of the build4AS and accessory buildin¢*o to be erected are attaellee
to this applioatlon,
The vmdereigned hereby agrees to soMly in the said construction vi.th
all the provis#.ons of the Zoning Ordinance as adopted, of the 9 cwn of
(If permit is graoted it will be 4ni oitditior that 'iexi.ldi ng or a,l»
te-Zaiti.ona shall be completed at date to be fired by Zoning Inspector,
ark, if not an completed permit: ' ball be revoVeci by him,., �
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