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FORM NO. 3
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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)
PERMIT NO.
32431 Z
Date OCTOBER
17,2006
permission is hereby granted to:
WALTER N GITLIN
1180 SMITH DRIVE S
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR; FLOOD PERMIT
INCLUDED
at premises located at
1180 SMITH DR S
SOUTHOLD
County Tax Map No. 473889 Section 076
Block 0003
Lot No. 012.001
pursuant to application dated OCTOBER
10, 2006 and approved by the
Building Inspector to expire on APRIL
17, 2008.
Fee $
175.00
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I Authorized Signature
COpy
Rev. 5/8/02