HomeMy WebLinkAbout29826-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southdld, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 29826 Z
Date OCTOBER 21, 2003
Permission is hereby granted to:
MAMIE A CHIANG
PO BOX 1789
SOUTHOLD,NY 11971
for :
ADDITIONS AND ALTERATIONS TO AI~ EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at 1600 JOCKEY CREEK DR SOUTHOLD
County T~x Map No. 473889 Section 070 Block 0005 Lot No. 018
pursuant to application dated OCTOBER 19, 2003 and approved by the
Building Inspector to expire on APRIL 21, ~0~
ORIGINAL
Rev. 5/8/02