HomeMy WebLinkAboutZ-1889FO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ~,/E~..J~a;[z~..~oa~ ...................................... Street
Map No...~3r~r'~ ....... Block No....~Y,~:~ ...... Lot No...Y,.lg[~ ............ J~Itf,.t,i.t,'~k ........ 'Nv.~', ....
conforms substantially to the Application for Building Permit heretofore filed in this office dated
................................... ~ .............. , 19 ........ pursuant to which Building Permit No.
dated ................................. ~]CJ[~J~J~ ........ , 19 ......... was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ........
........... Bu~nes...hutid~n~ .................... retat[..s.tor, e .............................................................
The certificate is issued to ..... H~C..Bc~act[...ce ............ T~n~-t..c~...bl~l~t;tn~ ......................
(owner, lessee or tenant)
of the aforesaid building.