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FORIII NO. 2
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
/1- SOUTHOLD, N. Y.
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fJfl BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
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Permission is hereby granted to:
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pursuant to application dated /G:..&tr;;C./f.?tr:-'7.....?::..2........., 19.PQ, and approved by the
Building Inspector.
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Fee $.IL</...........
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Building Inspector
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