1973- Res. 211TOWN OF QUEENSBURY
WARR6~N COUNTY. NEW YORK
Application for
R-e. v t~scd ~ PPt~cat~aa
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A MOBILE HOME OUTSIDE OF A NUBILE HOME COURT
This application for a Mobile Home Permit shall be
accompanied by a plot plan dsize ofathealot,tthe location
showing all dimensions, the Sewa e
on the lot of the Mobile Home, the water supply and g
system. If the applicant is not the owner in fee of the
premises, then the application must be accompanied by
the written acknowledged consent of the owner.
Mail or bring this application to:
Building & Zoning Department
Queensbury Town Office Building
R.D. 1 Bay Road
Glens Falls, New York 12801
Name of pplicant
VAS ~
Address
Give nearest cross street
ame of owner of land
7 . t~ ~sL
2 . ^~.C.: ~ ~ A ~A A Ci ~ C..~ EJ ! G s ~ilGc.,f --
Location of mobile home premises by street or road, etc.
3.
4.
Owners address
State fully the reasons for this request L/.r,~-~ti ~ -~---~'
G
fer te.r~ /~
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mot. Go /~ w
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THIS SIDE FOR TOWN GOVERNMENT USE_ONLY
Report of the investigation of Building Inspector and '
recommendations.
Approved
Disapproved
X ~ ~ Other :-
r Recommendations:-
A deed will be obtained if a permit is granted.
There are several "~~oble Homes in this area,
Mrs. Simpson, now deceased, had a Mobile Home on this parcel.
.,
y
ti',
Signed
uil ng Insp for
Action of the Town Board
APProved
Disapproved
Other :-
1
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By Resolution Number _ of the Town Board of the
Town of Queensbury, Warren County, New York.