HomeMy WebLinkAbout11100-Z
FOBM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
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(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N'? 11100
z
Date ...../{aICf..f........r..................., 19...?1
Permission is hereby granted to: _
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........71..9..9.........G~Q.~....LAI!:-I.fi;............
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to .......Qg.~/.?:.t?~r.:.....6?~.q,~...:.?..e~.......\:l~OaA.9E......~tf2.......
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County Tax Map No. 1000 Section ...(2tf.~........ Block .......9..1.......... Lot No. .Cu.~............
pursuant to application dated ...+~t.~...::~........................, 19..?':1, and approved by the
Building Inspector.
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Fee $........................
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...............................................................................
Building Inspector
Rev. 6/30/80