HomeMy WebLinkAbout7717-Z
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
VD I !)
----
lr -e4V" vv.ed ')
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED>
N\l 7717
z
(:'~ If) 7s
Date .............................:.........................., 19........
Permission is hereby grant,e.d to: /J .. /1. ,
':. 2. 2:k:~..:..: .~:..::. .~.::f.................: ~ .~..:.~. '::.. ~:............
.......1v..u.~....~..~!...../_......................
f..) () ~ ..........;;~,}..,l.d!",k!.....,.............{......:~~ 4u~u,.,
to ....~.......................C.......tjl__0::-::....C?::::::........E/j;.,;::?.....:.:...1.................................. ...
.........~J,g;..:..J.....(...:!:.::~:{;:...\...(::-::..~~...~?:-.::...j.......................................................................
\ .,
at premises located at .....ys.........):..~.!.C.1~...{(/~......S-" ~.......................................
.................................................~{\~..:..1..:.:;.:.\..'.....~..........................................................................
.................................................................................................................................................................
pursuant to application dated ................... ,r;;...::K... (0............,
Building Inspector.
,--
/ .
19....:::'., and approved by the
", c'- cry I ,.
Fee $.;:;:::;!...............
..........7~:t1~:,~~;"'~'7...