HomeMy WebLinkAbout26571-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
VOlO
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 26571 Z Date JUNE 13~ 2000
Permission is hereby granted to:
for :
JOHN & ARLENE S SULLIVAN
1760 CROWN LAND LANE
CUTCHOGUE~NY 11935
CONSTRUCTION OF A FOUNDATION FOR A SINGLE FAMILY DWmr.T.ING.
at premises located at
County Tax Map No. 473889 Section 099
pursuant to application dated MAY
Building Inspector.
160 ROSE LA
Block
13t 2000
MATTITUCK
0005 Lot No. 021.001
and approved by the
Fee $ 75.00
Authori e~ Signature
COPY
Rev. 2/19/98