HomeMy WebLinkAbout16769-Z
FOBlII NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N. Y.
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BUILDING PERMIT
<THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~16769
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Date ...9p........................................... 19.?t.!l
permission~b~ grgd to: _ #11I"., -
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ot premises located at .../Il...~{;.!'.r1....~.............................................................
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County Tax Map No. 1000 Sectian .............:1......... Block .............jf.'.... Lot No. ..........e.........
pursuant to application dated ...............'.~47........................... 19.J:1l. and approved by the
Building Inspector.
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Fee $.L4.~.
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Rev. 6/30/80
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I1lSULATION PER N. Y. ' .
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