HomeMy WebLinkAbout8857-Z FOBM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
8857 Z
Permission is hereby granted to:
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............ ~.~.X...3~.9. .............. ..c..u..~ .0. ~ .o. ~ .u..e. ...............
at premises located at ..:['/.~...~:!.e..~....O...~.~?...~...A.v..e. ...............................................................................
.................................................. ?.~. ~..~.~..o.~....e. ........................................................................................
pursuant to application dated ....................................... i)..e.~.~......~.~ 19...7..6.., and approved by the
Building Inspector.
Fee $.g&a~,Q ...........
Building Inspector