HomeMy WebLinkAbout29876-Z FORM 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)
PERMIT NO. 29876 Z Date DECEMBER 1 , 2003
Permission is hereby granted to : O 1 D
RORY & JENNIE L FORRESTAL
1065 SALTAIRE WAY O�
MATTITUCK,NY 11952
for
ALTERATION & ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR PER ZBA DECISION 45243 ; CODE PRIOR TO 2003 .
at premises located at 1065 SALTAIRE WAY MATTITUCK
County Tax Map No. 473889 Section 100 Block 0001 Lot No. 023
pursuant to application dated MAY 13 , 2003 and approved by the
Building Inspector to expire on JUNE 1, 2005 .
Fee $ 346 . 80
Aut orized Signature
ORIGINAL
Rev. 5/8/02
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