HomeMy WebLinkAbout30475-ZFORM N0. 3
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. 30475 Z Date JULY 13, 2004
Permission is hereby granted to:
RICHARD A CAVALLO
SOUTHOLD,NY 11971
for
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE
DWELLING AS APPLIED FOR
at premises located at 775 HICKORY AVE SOUTHOLD
County Tax Map No. 473889 Section 077 Block 0002 Lot No. 030
pursuant to application dated JULY 9, 2004 and approved by the
Building Inspector to expire on JANUARY 13, 2006.
Fee $
150.00
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'-' Authorized Signature
ORIGINAL
Rev. 5/8/02
FIELD INSPECTION REPORT DATE COMMENTS
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ADDITIONAL COMMENTS
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