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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°_NY 20S05 Z
Permission is hereby granted to:
..... · ~.~.~.~,......~....H.. .......................................
....... .....
at premises located at ....~-~.~/.~,.....,.~,,.~ .~......~. ........ ,~,,~ ....................
County Tax Map No. 1000 Section ....... .~..,~..( ...... Block ........ ..~....~. ...... Lot No .......L.J. ...............
pursuant to application dated ........... .....~.....C~..~. ..................... , 19.~....~.., and approved by the
Building Inspector.
Rev. 6/30/80
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