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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.
29489 Z
Date JUNE
16,C2003
Permission is hereby granted to:
STEVEN W HOELL
239 OLD TOWN ROAD
EAST SETAUKET,NY 11733
FOR; 2 CO'S REQ.
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING
ATTACHED COVERED PORCH & SUNROOM & ACCESSORY
at premises located at
1925 GRANDVIEW DR
ORIENT
County Tax Map No. 473889 Section 014
Block 0002
Lot No. 003.021
pursuant to application dated APRIL 2, 2003 and approved by the
Building Inspector to expire on DECEMBER 16, 2004.
Fee $
1,835.10
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Authorized Signature
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ORIGINAL
Rev. 5/8/02