HomeMy WebLinkAbout7791-z FORM NO. 2
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N~ Y.
BUILDING prERMIT
(THIS pERMIT MUST BE KEPT ON THE PREMISES UNTIL'FULL
COMPLETION OF THE WORK AUTHORIZED)
7791 Z
Permission is hereby granted to:
.......................................... ~z,,~:.o.:,, ~. ~. i....,i ....................
..................... t~ f;ti&uek.,..~.,.¥,.... ............ .: .....
to · r¢.~.~...~..~y.~.~.e... &~.¢¢. ¢.~0~....~ ¢.t..~r.~ ~¢.~,.. h~2;~d~ .......................................................
ut premises Ioceted ot ....k.../{;.....,.f~.Q~,~...~j,..,~.V~t ........................................................................
........................................................ ~aur~.....N.,.Y., ....... ~o~ ..(~3~.....1~ t.t&~ue~ ........................
pursuant to application dated .....................~1~.~. ......... .1 ........... , 19..'~"~..~ and approved'by the
Building Inspector.
Fee $..~..0.,'...00.. .........
Building Inspector k