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FO~M NO. ~ TOWN OF SOUTHOLD 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.° ~3587 Z Oo,e .........~./...7.. .................. ,, ..~.~.. // - ...~.~......~.....~.../~..~.~ .............. ~ ................................................... ,, ~,,,,,,, ,~,,.~ ,, .................. ~.~.: ~- - ~.~.~..~ ........... co..~ ~.~ ~,~ ~o. ,oo, ~,,,,o. ........ Z~.~ ,,~ ........ Z9 ..... ~0, ~0. ...~ ............... gulldfn~ I.sp~tor. ............ Rev. 6/30/80 BUII.DIH(: l)1(1)~'i'HI'HT (,:l~,~)(;~ .~ ....................... , CaI,I, I y,j]. y, y. 7....~ .... .... ;~ .... la,mil' ~k~. . ~.~.t..~..7 ................................. Iliaal~¢d il/ ..................... . AI;II~FI~I l', III May 1,1996 DaLe ................ 1 lt.qTIIIICT I Oll,q 'Ii,in nllflicati(~l nlsat Isa c(.,t~lelel7 filled in by lylXa.~riler or in i.k m~l md~.iLtad to I.he I~dldir~g 500 B:oadwa~e~s, Kd. (mi ling taklreas of appl Owner / AGM AssOciates Michael & Angela Milner ........... , ............................................. a~ au~;oln~ (~,~ l,,~l title of corl~lral.e officer) 765-1802 9 AM ~ 4 ~ FOR THE FOLLOWING 1. FOUNDATION ' ~O REOUiRED ~Hd~rs Lh:e.~e ~ .......................... FOR POUREDCONCR~E 2. ROUGH - F~MING & PLUMBING ph,,l~m~ 1Ace,~ ~ .......................... 3. I~SU~tON klec~rlc~a m L]cen,e ~ ...................... ~ FINAL · CONSTRU~ION MUST ~E COMPL~ ~R C.O. odmr 'm~', ;.~ce,,m ~ ..................... 500 Broadwate~ ~N~T~g~A~ ME~ ]. i~mnt~;~t o~ bnxt ~t ~t~cJt p~o~med ~)rk ~) ) )~ d~m.: ....... .............. THE. RE~EME~* ~F *~* N.Y.* * ' ~TAWE CONS~ON ~ ~E~ ................................................................................ COO~.. N~. *R~~* *~*'* J~.,,ay 'r~ m. ~,. ,xn t~cLi~ ..$~.~ ........ ]. m~:k ...%0 ........... ~,,L ..&.&.b ...... Nassau Pt. Club Properties . .. ~56 ~ . 185 dwelling . ............ c.t ':* ',, ~,.A.~,~.. c~,,.. $1000. O~ $35. O0 ' .residential Ill, It;utah of ()~mr o[ prenJ~e~ applicant .... ........... ~henn I PI,OT ~;,'^',.. ix, ,,;.. ~, . ~ - -~~ , ' '~ ............................ ' .......... ~~~~m. m.l~l Ihat he I. lira .pplicmd (Ih..l ol~livhl..I .ilpH.ii ('o.I I*lll'l ) ; ' Ilult (lie ~r)~'l('wlll I,e 'erro.~l Jif'Ih( iiv ~,r e' ' [ [. {tm nplq'Cntlo, riled Iherc~llh. ..... ....... I[)111[~ I%d)ll~,....~. "~ ............................... ," /( NOa~ Publio, Slate of N~ Y~, No. 4952246, $u~k Cou~ I Term ~r~ June 1~ I~