HomeMy WebLinkAbout390-z FORH NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 390 Z
Dote ................. .~..1.1:'1 ~., .~.].: ......... 19 .~..~....
Permission is hereby granted to'
~. ~.~...~.~..o..ra.. .............................................
................. ~.~.~..t.~,..t.q.~s .... ~..~., ......................
to ........ ~.~.~.. ~.e.~...~.~t. ~..1.~ ~.z- .................................................................................................
at premises located at .... .~'/~.....(~O~.,Z~L~LJ~..~ ....................................................................
..................................................... 1~.t,t;~Ltuc~, .... ]~,L .................................................................
................... ~T~...~,~ .................. ]~'.~....., and approved by the
pursuant to application dated ......
Building Inspector
Fee $.lO~OJ~ ...........