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TOWN OF $~UTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, Iq.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8951 Z
Permission is hereby granted to:
...~ .~.......~...¢..4. ....~...~.....~ ........ ~/c....~.~ ~--~ ~'-
at premises located at ........ '~.f,..~..~-,.}~....~i.~O.j) ......... J,,.t~..~.)..}=.'~. ...........................................................
.......................................................... Sa.u..~..H..e. ~.~ ........................................................................
................... k~.Z ....... 5.~ ............. 5Z). U.T...~.....W.~9¢.~:~ .............. b.q.~..P.. ....... 7-.I....~..I ..................
pursuant to application dated .................................................... 19 ........ and approved by the
Building Inspector.
Fee $ ........................
Building Inspector
~FP~ROV~D AS ~OT~D
DAT~
NOTIFY BUILDING DEPARTMENT
765-2660 9AM TO 4PM FOR REQUIR-
T
I
X
8 18