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FORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
$OUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
COMPLETION OF THE WORK AUTHORIZED)
Date
Permission Is hereby granted to:
at premises located at ......
County Tax Ma
pursuant to c
Buildln(
Fee
Rev. 6/30/80
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