HomeMy WebLinkAbout30877-ZFORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 30877 Z
Date JANUARY 4, 2005
PermissioN is hereby granted to:
EILEEN T KAMMERER
2555 YOUNGS AVE APT #8E
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A H3kNDICAP RkMP AS APPLIED FOR
at premises located at 2555 YOUNGS AVE SOUTHOLD
County Tax Map No. 473889 Section 063.002 Block 0001 Lot No. 020
pursuant to application dated DECEMBER 28, 2004 and approved by the
Buildin9 Inspector to expire on JULY
Fee $
Author~ized Signature
COPY
Rev. 5/8/02
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