HomeMy WebLinkAbout217-zFORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
,~'Ftf~O~'~.J~'q~*,~l*l~9~l~l~:~k~,l~l~.~ UNTIL FULL ~OMPLI~'{ON
OF THE WORK AUTHORIZED)
Permission is hereby granted to
Oo/u~Sm~ th Bl'o~.... A,,t/(~...Mahl~ D~¢kei~on. .............
M~'~ Road
.... ~.ou~ha~.. ~.~. ....................
at premises located at ~/~ ~4~.. .~.~7~ ~.0~/~, ', '
pursuant to applicohon dated ........... ~~..~7~', ......... 1~..., and approved by th~
Budding Inspector
Building Inspector