HomeMy WebLinkAbout452-zFOI~V~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
C~'-RT1FICAT,E OF OCCUPANCY
THIS CERTIFIES that the building located a~
Map N~.~...~.~..~.~tock No ...... [.~.~. ...... Lot No .................................. .~...~.~ .....................................
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ........ ,...~fl~F..~9., 19~... pursuant to ~vhicl~ Building Permit No ...... ~...~ .....
-tated ..... ~...,.~.~..~.p.~;.~.~...2~...., 19...5/~, was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is
................................................... , ............ ~'~'ATE · ' ONE ' 'F~I~Y' ' ~EI~'II~ ........................................
This eertiflcaie is issued to O~.t~o...Lill~-~ta.~.er,...o,t~er ..............................................................
(owner, lessee or tenant)
of the aforesaid building.
FO~M NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
......
...... ~~., ....... ~.:.~....~..
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..,~ ....... ~.~ ........ ~,,~ ....................... ~.,~ ....................................
Building Inspector ~.~