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389 TOWN OF QUEENSBURY WbLrren County, New York Office of the Zoning Inspector H 4 5d Building Permit NO. 3. 8 9 • Date Issued. . . . . .April• 21,• Il869. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date Denied. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . Owner. . . . . . . . . . . .Clarence• G.• Burt, Jr.. . . . . . . . . . . . . . . . . . . . . . . 4 orviTle Street Owner' s Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Glens. F lls 3. N: :. . . . . . . . . . . . . . . . . . . . . . . . . . Location. . . . . . , , .North.Side•of• PickleF Hill•Road. . . , • • • • • . . • . Town of Queen bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of Construction - Wood frame, Masonry, Steel, etc. . . . . . Wood Frame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . Dwellirr� Proposed Use• • • . • • • • • • • • . • • • • • • • • • • • • • • • • • • . • • • . . • • • • • • • • . • Owner Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Builder. . . . . . . . . .Owner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Plans and Specifications No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PERMISSION is hereby granted to the above owner for the con- struction of a building in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Zoning Ordinance. April 1 Date Building Permit Shall Expire. . . . . . . . . . . . . I . . . . . . . .1970.. . Permit Fee $�10�00. . . . . . . LeRoy Phillips Building onion Inspector NONE CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ;::over be�~ � ,� fC 19 — This is to certify that work requested to be done as shown by Permit No. 389 has been completed. This structure may be O i e f a�;i l y wood d f r a rr e �;gyp� y occupied as a L a n Location 1°v O:r th o de Of F-i c k l e :fill Road Owner Clarence S. F.U,t, jr. By Order Town Board # TOWN OF QUEENSBURY , - Buildi g & Zoning Inspector