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(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL \}0\6<<."* / Cl^--ot
COMPLETION OF THE WORK AUTHORIZED)
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Date ......J..~..~....!.............. 19..'lI.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N. Y.
BUILDING PERMIT
20251
z
Permission is hereby granted to: . \
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....J..&.~.;..,.....l.:~~............~
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::P.!1..~.~......~.:~..:........1.!3.~~..........
to...~.......~.......g,,~.~.....~~~~~)
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at premises located at ...g..~.~..lj.~.......SR;r.....+l......J?-P.,;r..P.:!M..~......................................
....... ............................ :...........:..........:..~....."lj"...... ................................................................................
.........%.......K'lk~....k~.......................................................................................
County Tax Map No. 1000 Section ...Q.!.e.l........ Block ....C.{......... Lot No. .1.:..1...............
pursuant to application dated ...s:::u0t~....3.1................ 19.'l.1.... and approved by the
Building Inspector.
Fee $.~7>..I...~
~~_..._....._~.._...
Building Inspector
Rev. 6/30/80