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IPO_ NO. .
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, N. Y.
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BUILDING PERMIT
<THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 13405 Z
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Permission is hereby gran~:..::s.t~.....~.~.)r).~.......
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~~....~...~......:l.l.ll7...I...... 0
lo..~.~~.~J.~....f..1.!~.....~.....&..~.~...L~
~.....~.....F.~......................~..................:.........................~..............1.......
at premises lacated at .......~~..~.c............A...f.~~),....:~:..l1:~J..k...
.................................................................................................................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ......Q:J..~.... Black ....S.............. Lot No. ....l~.~...l........
pursuant to application dated ...~"""'~...1..~.............., 19.i.~., and approved by the
Building Inspectar.
Fee $...0.........
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Building Inspector
Rev. 6/30/80