HomeMy WebLinkAbout22706-ZN9 22706 Z
F~RM
TOWN OF $OUTHOU)
BUILDIN~ DEPAI~TMENT
t'ef~l HALL
SOUT#OLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ............... ~ .~... .......................... 19..~......'-~..
Permission Is hereby granted to:
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,o...~~.~.. ............ ~..~ ........ ~..~.z~.~,~...: ...... ~ .......... ~ ........
.... ~...~.....~.. ...... ~../.. ........ ~..~ ........ ~ ........................
at premises loc at ed at ............. /..~...~... ......... ~.~..~'Z,,,'~,,. ~...;. ................................................
............................................................ ..~..~~.~..~ .............................................................
CountyJaxMapNo. 1000 Section.....?..°'Z.,...?. .......... Block....~...~.. ............. LotNo ..... /-,~... ...............
pursuant to application dated ....... ..~.....~,.~../.....~......~ ........................ ~, and approved bylhe
Building Inspector,
Rev. 6/30/80
SUFFOLK CO. HEALTH DEPT. APPROVAL
~TATEM~;N,T OF INTENT
THE WATER SU~LY A~ SEWAGE DIS~AL
SY~EMS FOR THIS RESI~NCE WILL
~NF~M TO T~ ~AN~R~ OF THE
SERVICES -- FOR APPROVAL
C~TRUCT~N ~LY
~ L ~/A
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