HomeMy WebLinkAbout3172-zFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at .~:L~vC~tt-~t~..,~,t;~. ..................................Street
Map No .......~ ........ Block No ........ X~ ....... Lot No ...........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................ ~&1~.~...2.6 ......................... , 196!/¢... pursuant to which Building Permit No. ~.~.~.~....~..
dated .............. ~,1'tI~.~...26. ........................ , 1~6;~...,, was issued, end conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
.................................... ..................................................
The certificate is issued to ...... ~I~;~,U~...~,~.Q~J.~D, Ii ........................................................................
(owner, lessee or tenant)
of the aforesaid building.
Building
(Pieaee ~emove bu&ld~e~dent~ca~c,v e~gn)