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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.
31987 Z
Date MAY
10, 2006
Permission is hereby granted to:
DAWN BLANGIARDO
355 DEEPHOLE ROAD
MATTITUCK,NY 11952
: for:
I
ALTER AN EXISTING KITCHEN (COMMERCIAL) IN AN EXISTING DELI-MARKET
AS APPLIED FOR. THIS PERMIT REPLACES BP 27043.
at premises located at
28080 MAIN RD
CUTCHOGUE
County Tax Map No. 473889 Section 102
Block 0006
Lot No. 008
pursuant to application dated MAY 10, 2006 and approved by the
Fee $
200.00
Building Inspector to expire on NOVEMBER 10, 2007.
t/ o.:c. O.
S JU... Btf-#:- 333 b 7 ~
ORIGINAL
Rev. 5/8/02
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