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TOWN OF PERRY <br /> SITE PLAN APPROVAL <br /> 1. NAME <br /> Applicant HI i,' ;c ?'16 a <br /> 2. PROPERTY LOCATION <br /> s y Property <br /> drre / iy v (=A )1E1 5 7.2 <br /> 3. PROJECT DESCRIPTION <br /> Project Type A. Dwelling Mobile Home Detached Garage Outbuilding <br /> 4. CONDITIONS OF APPROVAL <br /> GENERAL CONDITIONS: This approval is based solely on the specific information supplied with <br /> the Site Plan Application that was signed by the applicant on -13 . Any subsequent <br /> change from this information must be approved in advance by the Town Board. This Permit is <br /> effective for 12 months from the date of issuance and shall expire unless renewed. The Permit may <br /> be renewed for 1 additional period of 12 months(see Applications Guide). If construction of the <br /> building for which the Site Plan Approval was obtained has not been started by the end of this <br /> period,a new Site Plan application must be submitted and approved. <br /> Specific conditions: <br /> 5. AUTHORIZATIONS <br /> By my signature below,I certify that the Town of Perry Board has approved the Site Plan <br /> Application cited above on (- -% - with any specific conditions as noted. <br /> 1. / <br /> Town Clerk Date <br />