HomeMy WebLinkAbout15553-Z FORM' NO. 0
TOWN OF SOUT~OLD
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~ 15553 Z
Permission is hereby grantec~ ~ ~ ,, A
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~ __. ..12,L~....~/..-~ , I ~-~,~- ~ /,, -.~ -__'~' ................ ,
at premises located at ..~...O....~....o...~ ..... ..... J~'..jL~],~....~_....~....~.....~.....~,~l~)
County Tax Map No. 1000 Section ...... /..~.....-~. .... Block ......... J ............ Lot No .... ..'~.....~.. ............
pursuant to application dated~.~~......~ ............... , 19.~..(l~, and approved by the
Building Inspector.
Fee $. Z....t~......'..~
Building Inspector
Rev. 6/30/80