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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.
32368 Z
Date NOVEMBER 14, 2006
D & A ALBERTO
68 HIGHLAND AVE
PORT WASHINGTON,NY
11050
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permission is hereby granted to:
for :
ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR
at premises located at
415 BLUE MARLIN DR
GREENPORT
County Tax Map No. 473889 Section 057
Block 0001
Lot No. 022
pursuant to application dated AUGUST
29, 2006 and approved by the
Building Inspector to expire on MAY
14, 2008.
Fee $
917.10
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Authorized Signature
ORIGINAL
Rev. 5/8/02