HomeMy WebLinkAbout6472-z FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.. Y.
N?
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CQMPLETION OF THE WORK AUTHORIZED)
6472 Z Date / .~, ~.l'~]J~ 10 19~.~.....
Permission is hereby granted to:
.......
~oungs A~e & ~dd~e l~ad
Bou~hold
at premises located at .....Y..o. ,u~,.[~..~.v..$.....&.,..~.:l,~..d,,le,..Ro.ad .......................................................... Southold N, ~.
pursuant to application dated ..~.~.Ft~l ~0 , 19.~..., and approved by the
Building Inspector.
Fee $ ........................
/ ~/~' Building Inftor