HomeMy WebLinkAbout23084-ZFORM NO.3
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) ~
Date .................. 19 ,
N? 23084 Z
Counly Tax Map No. 1000 Section ....... .../....~....../..... Block ............ L: .......... LotNo ..../..~. ..............
pursuant ,o application dated ................... .~.....~../... ~.~... ....... 1 9..?..~ and approved bythe
Building Inspector,
Fee $.....~..~.......:~
Rev. 6/30/80