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FORIII NO. 2 I
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
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N~ 10552 Z Date ... ..6Ji.;Qt?/:<'f......?:..?:-:.,..,"" 19.1'/2-
Permission is hereby granted to;-....._ ~
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to h.-I"l/z;.....CQ~.~.Cf..(I)J....Q.4.).."..PK.9I2.;;:,df..'..1P..~,,4'.(.6..s5.Gl.j
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at premIses located at#...... ....-.".!...7.:5..... 6....,.. '.........'.. t!.I,4.......... ...r..ct...tk:?/d.,... .... .... ,:,
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pursuant to application dated .:l3.1....("/.J.r.e..~..,..?::,~..,..,,...., 19 ..C!.., and opproved by the
I
Building Inspectar.
Fee $l(j..~........
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