HomeMy WebLinkAbout85-zFOIZM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located o~./.~..~.~..~...v.~..~..~..e.,?..e.....~...°..~..~.. ...................... Street
Map No ...... ,~f~r-~X)~ ............. Block No .............. ~-,3f~.~%.....,
conforms substantially to the Application for Building Permit heretofore filed in this office dated
....................... ~X,~gt),JJ.~.....~,~ ......... 19..~'.~.., pursuant to which Building Permit No ..... ~.....~. .......... ,
dated ......................... ~g.~.~.....~'.. ......19..~.~..., was issued, and conforms to all of the requirements
of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ............
...................................... ...................................................................................
This certificate is issued to ........ .~.~.~.~.T~.~.O,.....~'.QJ3,0.e ................................................ i .....................
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector