HomeMy WebLinkAbout21567-Z FORM NO.3
TOWN OF SOUTHOLD
BUIt. DING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
No
BUILDING PERMIT
[THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ................... Z .//-.~...~.. ............................
21567 Z
/ ·
Permission Is hereby granted to:
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Building Inspector,
Fee $.....'~7 ..,~..,....~? ......
and approved by 'the
Rev. 6/30/80