APAALLUP Variance Referral Information
APA LOG # LV 2022-0058
TOWN VARIANCE #AV25-2022
APPLICANT Gazetos
NOTES ATF setbacks for upper & lower decks, shed,
wooden walkway
Tax#239.20-1-19
Tax#.--.
Date Received**
2022-08-26
Date of Pre-Ap
2022-07-05
Date Additonal Info
Date Response
OTHER APA TRANSACTIONS
V2015-8
Date Response Due*
Sunday, September 25, 2022
Status/Action
pending
SHORELINE DENSITY OTHER TOWN REQUIREMENTS USEAPA STATUTE PROVISION
HA MI LI RU RM IU UNKAPA Land Use Area NEEDS AN APA PERMIT
*Please note the Agency's 30-day review period begins upon receipt of the complete variance record.
(Additional information may be required by staff in order to complete review)
ATF – After The Fact
BLA – Boundary Line Adjustment
NC – Non-conforming
OSWTS - On-site Wastewater Treatment
System
PB – Principal Building
SFD – Single Family Dwelling
SL – shoreline
SEPTIC
Warren County
TOWN Queensbury
Town Town of Queen
** Note referrals received by the Agency after 3pm will be date stamped for the next business day.
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 TownsAgency-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: ,r' ` _ r�ic� Title: ,Zoo i nc �l�t,;55 fY � Date Sent: elcz
J
The Adirondack Park Agency is hereby notified of the receipt of a variance referral record.
Applicant(s): M QC4 Cyr, Par. Application #: Al a
Parcel(s) '23 ei , d o 1 — (�'/ (tax map #)
For. FA rea Variance
Local Zoning District(s):
The variance involves (check all that apply):
Shoreline Setback
❑ Shoreline Lot Width
❑ Dock/Boathouse
❑ Use Variance ❑ Septic Variance
APA Land Use Area(Js ❑ Unknown
❑ Hamlet ❑ Moderate Intensity Use ❑ Low Intensity Use
❑ Rural Use ❑ Resource Management ❑ Industrial Use
❑ Density
❑ Lot Size
❑ Structure Height
❑ - Other Shoreline Requirements ❑ Other:
The attached correspondence contains:
Setbacks
❑ Road Frontage
❑ Maximum Lot Coverage
B Notice of Application eApplication /Materials Meeting Minutes
El"'Record of Decision / Decision Date: I aN 1 a Granted ❑ Denied
Denied variances do not need to
❑ Postponed/Tabled (until: ) be referred to the Agency
Thank you for your assistance in helping to keep the variance decision record complete.
ForAffency Use:
Log #: LV
Cross References:
Agency Date Stamp —Received:
*Note referrals submitted via email may require follow-up with paper copies. Revised: 8/2017