1546 BUILDING PERMIT
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TOWN OF QUEENSBURY Na 1546
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Russell Lotz n
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OWNER of property located at Hall Road Street, Road or Ave.
Dwelling and sewage system for same o
in the Town of Queensbury,To Construct or place a o
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
18 Lupine Lane
Glens Falls , N. Y .
2. CONTRACTOR or BUILDER'S Name
Lotz Construction
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3. CONTRACTOR or BUILDER'S Address —+
18 Lv.jaine Lane o
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4. ARCHITECT'S Name Q'
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications
No. one family dwelling and sewage system as per
submitted plans and specifications c(
8. Proposed Use
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dwelling and sewage system
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$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1, 1972 �
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 00
town of Queensbury before the expiration date.) M
Dated at the Town of Queensbury this 18th Day of November 1971
SIGNED BY for the Town of Queensbury
Buildi nd Zoning Inspector