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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.
32557 Z
Date DECEMBER
7, 2006
permission is hereby granted to:
JERRY W & LINDA L MATEJKA
1300 STROHSON RD BOX 41F
CUTCHOGUE,NY 11935
for :
RELOCATION OF EXISTING ACCESSORY GARAGE AS APPLIED FOR
at premises located at
1300 STROHSON RD
CUTCHOGUE
County Tax Map No. 473889 Section 103
Block 0010
Lot No. 027
pursuant to application dated NOVEMBER 15, 2006 and approved by the
Building Inspector to expire on JUNE 7, 2008.
Fee $
75.00
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Authorized Signature
ORIGINAL
Rev. 5/8/02
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