HomeMy WebLinkAbout7481-ZFoxaz xo. a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OfFICE
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BUILDING PERMIT !~j(P.~Z,P~)c~V ~nvelTec~
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL -1`p II~.I ~~~
COMPLETION OF THE WORK AUTHORIZED)
N~ X481 Z Date ............................A>i~t........~f).., 19 ..~A-
Permission is hereby granted to:
..;.ae.....Lauiaer ....................................................
...........~t~~ ...............................................
................................................................................
to .•F#ui1.d..an•ad,cl3.tic~n•••Gbro®za~ay~...on••ox~sti:..:..«.~.;c.].13,n.~ .................................
................................................................................................................................................................
at premises located at ....F.c.caaas]a..o....:~ciu.tti...Gsrass...:,.o:,d .........................................................
.................................j?1.G8 t.B..~dACaC.y.....ri7lLC1zP.;~1:~'..... x, e:i.............................................................
................................................................................. ..............................................................................
pursuant to application dated .....................::ilds„..........1~............., 19r*...., and approved by the
Building Inspector.
Fee 31.x..00............
. ~C1..~..'.~. -- .. ...................
Building nspector