HomeMy WebLinkAbout23245-ZFORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
N? 23245 Z
[THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
..................
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at premises located at '
........................................................................... ~.~ .................................................
County Tax Map No. 1000 Secflon.....7~,.. ........... BJock O/ LotNo. ..~....~...
~ (z' L"~ 19
pursuant to application dated ........... ..~.~¢",~) ....................................... ',~"' '~" ..... and approved by the
Building Inspector.
Fee $...~....~...:....~.~.. .......
Rev. 6/30/80