HomeMy WebLinkAbout15827-z FOEM NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cOMPLETION OF THE WORK AUTHORIZED)
N~ 15827 Z
Permission is hereby granted to:
County Tax Map No. 1000 Section ........ ..~....']...?..... Block ........ .~...~.. ....... Lot No......~...~..%.").....: .....
pursuant to application dated ....... ~~..~ ............. , 19.~...'].,
and
approved
by
the
Building Inspector.
Fee $...~.2.t..~..'~...-~-... ~'~-'~-~'~
~ -.
.................... "'~;~if~,~q~[i,7 .........................
Rev. 6/30/80