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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~N9 20778Z
Date ..............~?............................, 19.2.?-
Pennission is hereby granted to: LJ
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to ...t.'t5:€f:r:........~..........~.:....A.IJ/,.......~~............d.f.:.......d'~~~....~
................................................................................................................................................................
at premises focated at ................~t:t.If?..........Cff,&?.......~~~......&:.....................................
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.................................................6.~~r.!.......~~/(!(,<?.........................................................................
County Tax Map No. 1000 Section ......I./.!........... Block .....L<?.......... Lot No. ..t?t?.:............
pursuant to application dated ........................................................, 19?~, and approved by the
Building Inspector.
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Fee $........................
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