HomeMy WebLinkAboutZ-1650NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No....~....~.~.~...0. ........... Date ..................... ~.1/~.....12, ............... , lC~ ....
THIS CERTIFIES that the building located at ..~.O~....,T~[zll'Uat;~..~.t, ................................ Street
Gpt,Dr,
Map No ....................... Block No ...... ~ ......... hot No..~.~....G:e4e~pc~t,t..~o~, .....................
conforms substantially to the Application TOr i~'~,~.-..~ heretotore filed in this office dated
............................... ~r~_~ly.....11 ............... , 196,,~... pursuant to which]~DF~l;~.~~.]~t.sli.~ij,
dated ..~./..0...~..~[.],~.~. ......... ~T.~,~...~, 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 ........
The certificate is issued to ..Th~..ito3~d..Tone~ .C/.0..l~t'l.../e~y...~...Lan~...-....l~r. el. ........... (owner, lessee or tenant)j/~t.~
of the aforesa.id building.
~S certificate to be s~rende~ed ~on te~m~.nat~on o~ lease,