HomeMy WebLinkAbout13874-Z FORM NO. S
TOWN OF SOUTHOLD
BOlLDING D£PARTMt:NT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NB 13874 Z Date ~ .......... L.~. ................ ,
Permission is hereby granted to:
:... ......... ~.~; ./.~..~...~ .......................... ...
at premises located at .... l.¢..¢~1~:.~.~:.....~ ...... ..~...~.~....~.~ ..................
................................. .¢~..~ ..... ~ ....... ..¢.j.......¢~....: ..................
......................................... 7.,;~ ................... ................................................................................................ ~/
County Tax Map No. lO00 Section ../...~..~. ......... Block ....~. ............. Lot No ....~""~7 ......
pursuant to application dated ........................ , 19~ .~, and approved by the
8uild~/ Inspector.
Fee ~;...IO~.,.P".~.
Rev. 6/30/80