HomeMy WebLinkAbout22579-ZFORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N_o 22579 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLEtiON OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
.... ~o,....~..~..........~./.. .......................................
........ ~.£~ ~...~....~...~.:. ..........................
,o .../~../:~.//.....,~.~....~.~.~..~.~...,d.~.~.:~...~....~.....~.~...~ /
/.~..... ~.....~.~. ~ ~.....~.~z~..~~.; G:~z~ ~. ..... ~
...~ ........... ~~..~.~..~.~...~~.~....~ ~
...~....~.~~.~.~~.~...., .........................................................................
o,~m,~,~o,~o, ........... ¢.~..~.~..~..~~...~.,. ....................................
.................................................. ~z.~.~ ......... ~..~..~ .......................................
~o~~o. ~000 ~,o~ ...... ~.~.. ~,o~ ......... ~ ............ ~o,~o...~.~.~....L.}..
Building Inspector.
Fee $..~..~....~..
Rev. 6/30/80