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toe Baen) APPLICATION FOR BUILDING PERMIT TOWN OF WALES, ERIE COUNTY, NEW YORK Application is hereby made to the Building Department for the issuance of a Building Permit pursuant to The New York State Uniform Fire Prevention and Building Code for the construction of buildings, additions, alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, and regulations. The undersigned hereby make application for a BUILDING AND ZONING PERMIT for the purposes and on the site described herein, agrees that such purposes shall be undertaken in accordance with all the applicable laws, ordinances and requirements of the Town of Wales, the County of Erie, and the State of New York, and agrees that all work will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be noted on the permit. PERMIT APPLICANT NAME D4UiD Varione HOME# MAILING ADDRESS 12°78 (| SScly He Bd cere 44] ge- AY ( BUS. # EMAIL ADDRESS DXi D yaillone. oan. Com if enna PROPERTY OWNER-IF DIFFERENT FROM APPLICANT NAME PHONE# MAILING ADDRESS PROJECT LOCATION (Street, Road) (278) Schau a Bal LOCATED INFLOOD PLAIN Yes -KiNo Side of: North South Cast afWest Parcel Identification Number (Tax Map. No.) ) 42 ly OO ~1774 ~COO - 0003, -008-00\” House Number Assigned? CINo AY es