HomeMy WebLinkAbout7752-z FORM NO. 2
Tow. OUt.. o
BUILDING -DEP~RTMENT
TOWN CLERK'S OFFIGE'
SOUTHOLD, Ns Y.
BUILDING PERM'IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLE'I~ION OF THE WORK AUTHORIZED)
N°. 7752 Z Date ,..;,.:....~..;.;.m~,~..,.,....].-'~ .......... ,
Permission is hereby gra~ted to:
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~t premises located at ..,g/8...t4~:t~.il~oa~..&..!~/8..Oed,.:~..lt-l-t,~.h...{.l~t.)-.~, .........................
pursuant to opplication dated ..... i .............. ~' .......... ~'~ ............... , 19~.., ~nd opproved by the
Building Inspector.
Fee ~;0, O0 ..............