HomeMy WebLinkAbout10467-ZFOEM NO. 2
TOWN OF SOUTHOLD ~
BUILDING DEPARTMENT
TOWN CLERK'S OFFIGE
SOUTHOLD, N~ ¥,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON TH~PREMISES UNTIL FULL
' CO~APLETION OF THE WORK AUTHORIZED)
No. 10~67 Z
Permission is hereby granted to:
to ..... t~.~..;SZK...c,s;.T....t.t.t.t.t.t.t.t.t.t~.c,~_ ...............................................................................................
pursuant to application dated ~.'.~'*-~1~ ....... Z~'-..~ ............ , 19.~.., and approved by the
Building Inspector.
Fee $.~..~...~ ....
Building Inspector