HomeMy WebLinkAbout5693-z FORM NO. 73
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? 5693 Z Date ...........................!�.®a......i0 19.n..
Permission is hereby granted to:
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-432....*J".14..46~Wy..ft....................
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to ..�► �..>slut.. ...iiV113, ••�ii91,i...................................................................................
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at premises located at ....lot..14.......i i�tYR'31"6310PM..�G.... ...............................................
Yiia>t�r Lang................t3lNA�osi.............................................I................
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pursuant to application doted ............................Lea....20............... 19...A., and approved by the
Building Inspector.
Fee $•54s+t..........
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w^?r... ,,...I....pector ...................
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