HomeMy WebLinkAbout23052-ZFORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
NO
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Rte ..................... ./..~..,~../.~ ........................
23052 Z
/
Permission Is hereby granted to:
o.t.,.'~..,.-......~~.~.~.~..~ .......
~d...~......?....~. .x.,.. ..............................................
.z.O..~..~..,...--', ....... ~...Y.., ........ /./...~ z ............. . .
to..~../~...~-Z.. ..............~ ............ ~k ........ ~"-~.,. ~ ........... ~../../..'~.... ~ ......
· .~ .......... ~.....~.,..<~ .......... .c,~.x~.~.....~.,.../...~:~ ..........
~..~ ........... ~~..z..-7~. ........ ~~.... ................................................................ : ...................
at premises located at ..............................................................................................................................
CountyTax Map No. 1000 Section ....... /2. ........... Block ....... ~..~, ......... Lot No. ....'~.'.~..:.../. ............
pursuant to application dated ..... ~...~.~..~.....~.../. ........ 19...~.~.~.. ..... and approved bythe
Building Inspector.
Fee S..../..~:..~ ....
Rev, 6/30/80