HomeMy WebLinkAbout19177-Z FOI~M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO~VN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NM ~1/? Z
Permission is hereby granted to:
.... ;'"'Y'~'"'::"'~ ...... ~ ........ ~ ....... ~Y';"~':;"~ ........ F~ ....................... ~'"
at prem,ses located at ...L~..~;~..~o..~. ............ ~ ...............................................
County Tax Mop No. 1000 Section ......... .L-~....~.. ....... Block ....... ..~...-~.... ..... Lot No....~..:...~. .........
pursuant to application dated ......... ~.~......~=.. .................. , 19.~.~.., and approved by the
Building Inspector.
Fee $.. ~,'.,~..~... :.. ~
Rev. 6/30/80