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APA ReferralsTown of Queensbury - Variance Referral to APA Agency -approved Local Land Use Program Referral Please use this form as a cover sheet for any correspondence associated with a variance referral to the Adirondack Park Agency as provided for in the Town's Agency -approved Local Land Use Program. Send this cover sheet & variance referral record to: Adirondack Park Agency, V. Local Government Services, PO Box 99, Ray Brook, NY 12977 or fax to: (518) 891-3938 or email* to: LocalGovernment@apa.ny.gov From: ('re'L I Co ; � c:� Title: _Zv vi t' e /�z�'n�1, /t r_s; : Date Sent: q 1_3 The Adirondack Park Agency is hereby notified of the receipt of a variance referral record. Applicant(s): 1��'� 5 L-LLCJ Var. Application #: f}v' Parcel(s) C�3 r . 1'7 ( — 15 (tax map #) For: B'Area Variance Local Zoning District(s): �I The variance involves (check all that apply): ❑ Use Variance ❑ Septic Variance APA Land Use Area(s): ❑ Unknown ❑ Hamlet ❑ Moderate Intensity Use ❑ Low Intensity Use ❑ Rural Use ❑ Resource Management ❑ Industrial Use Shoreline Setback ❑ Density V Front/Rear/Side/Road Setbacks ❑ Shoreline Lot Width ❑ Lot Size ❑ Road Frontage ❑ Dock/Boathouse ❑ Structure Height ❑ Maximum Lot Coverage ❑ Other Shoreline Requirements ET Other: The attached correspondence contains: ❑ Notice of Application ❑ Application Materials ❑ Meeting Minutes ❑ Record of Decision / Decision Date: ❑ Granted ❑ Denied Denied variances do not need to lerPostponed/Tabled (until: I 1 be referred to the Agency Thank you for your assistance in helping to keep the variance decision record complete. For Agency Use: Log #: LV - Cross References: Agency Date Stamp —Received: *Note referrals submitted via email may require follow-up with paper copies. Revised: 812017 Town, of Queensbury - Variance Referral to APA Agency -approved Local Land Use Program Referral Please use this form as a cover sheet for any correspondence associated with a variance referral to the Adirondack Park Agency as provided for in the Town's Agency -approved Local Land Use Program. Send this cover sheet & variance referral record to: Adirondack Park Agency, `/o Local Government Services, PO Box 99, Ray Brook, NY 12977 or fax to: (518) 891-3938 or email* to: LocalGovernment@apa.ny.gov f From: e'ali I l11-o ,-1 Title:. 2-0 �',rt „� f,,�4,,- Date Sent: 3 I d�- The Adirondack Park ALYency is hereby notified of the receipt of a variance referral record. Applicant(s): ��� s L i - .l. ' � �(-� Yar. Application #: �-l1 Parcels) -3e1. 1 17 - I / 5- (tax map #) For: 10 Area Variance Local Zoning District(s): The variance involves (check all that apply): ❑ Use Variance ❑ Septic Variance APA Land Use Area(s): ❑ Unknown ❑ Hamlet ❑ Moderate Intensity Use ❑ Low Intensity Use ❑ Rural Use ❑ Resource Management ❑ Industrial Use Shoreline SetbackC_c-;,>Pmwe,_-e -)0 Density MFront/Rear/Side/Road Setbacks ❑ Shoreline Lot Width ❑ Lot Size ❑ Road Frontage ❑ Dock/Boathouse ❑ Structure Height ❑ Maximum Lot Coverage ❑ -Other Shoreline Requirements 0 Other' 6xj1<L-5i'o= �F' nor+co.. 'rM•'��� 5� c The attached correspondence contains: 53' l&otice of Application CYApplication Materials ❑ Record of Decision / Decision Date: @"Postponed/Tabled (until: La'Meeting Minutes ❑ Granted ❑ Denied Denied variances do not need to he referred to the Agency Thank you for your assistance in helping to keep the variance decision record complete. ForAgency Use: Log #: LV Cross References: Agency Date Stamp - Received: *Note referrals submitted via email may require follow-up with paper copies. Revised: 8/2017 Town. of Queensbury - Variance Referral to APA Agency -approved Local Land Use Program Referral Please use this form as a cover sheet for any correspondence associated with a variance referral to the Adirondack Park Agency as provided for in the Town's Agency -approved Local Land Use Program. Send this cover sheet & variance referral record to: Adirondack Park Agency, `/o Local Government Services, PO Box 99, Ray Brook, NY 12977 or fax to: (518) 891-3938 or email* to: LocalGovernment@apa.ny.gov From: rv4'i Title:. ZOO i n ►-uh isirr' Date Sent:r3 The Adirondack Park Agency is hereby notified of the receipt of a variance referral record. Applicant(s): 1,6 LLG Par. Application #: /IV a Parcel(s) a3a, / 7 - l -15 For. VeKArea Variance Local Zoning- District(s): Uv' The variance involves (check all that apply): (tax map #) ❑ Use Variance ❑ Septic Variance APA Land Use Area(s): ❑ Unknown ❑ Hamlet ❑ Moderate Intensity Use ❑ Low Intensity Use ❑ Rural Use ❑ Resource Management ❑ Industrial Use ❑ Shoreline Setback ❑ Density ❑ Shoreline Lot Width ❑ Lot Size ❑ Dock/Boathouse ❑ Structure Height 2-Other Shoreline Requirements © Other: &�pr-5ic>A Qr 115� 4n JcC7 W t i�lt'�il L4L s'�' •, The attached correspondence contains: Bi Notice of Application Front/Rear/Side/Road Setbacks ❑ Road Frontage ❑ Maximum Lot Coverage J PGOrr1 r'�s.t9.�ii'l'*f . u L'Application Materials 0Meeting Minutes ❑ Record of Decision / Decision Date: ["Postponed/Tabled (until: 7L,-it, I a-l;� a -I- ) ❑ Granted ❑ Denied Denied variances do not need to he referred to the Agency Thank you for your assistance in helping to keep the variance decision record complete. ForAzency Use: Log #: LV Cross References: Agency Date Stamp - Received: vtceS *Note referrals submitted via email may require follow-up with paper copies. Revised: 8/2017