HomeMy WebLinkAbout15123-Z FOw. M NO, S
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)
N9 15123
Z
Permission is hereby granted to:
..l.l..~..~.~. ....... .~.....~..~ ........................................
.~~.~....~.:~.,.....u...~.~.~ .........
,o ...................
at premises located at ...L.J.."7...~..O. ....... ....~....~......~....~. ........... ....~.~.~.. .............................
County Tax Map No. 1000 Section ....... J..~....~ ....... Block ...... .(~......:~... .... Lot No.....~.)...! ...........
pursuant to application dated ......... ...~.~...~,,' ..................., 19.~.~., and approved by the
Building Inspector.
Fee $.,~.-.~ ....
~a.~ e~.,~----,
Building Inspector
Rev. 6/30/80