HomeMy WebLinkAboutZ-9034FOR~I NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.. ZgO~b. .... Date .... l~y ..... 2~ ............. , 19..7.8.
THIS CERTIFIES that the building located at . 260. S.~.~..~t....H~...b~..~..L~..e. Street
Map No ............. Block No ........... Lot No ..................................
conforms substantially to the! 0 F LY . B , T . I~'~RE
dated .... Alert.1... 2.~ ..... , 19.57. pursuant to which ~(~o.0~...G~T...A~..U~f
dated .... l~ty ...... 26 ...... , 19..78 was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .... ~I~ATE ONE.. FA~...ILY DWI~.~r,IN(I
The certificate is issued to Alft'ed Ho floldsmtth
of the aforesaid building.
Suffolk County Department of Health Approval ........ Pl'e-Existtrlg .............
UNDERWRITERS CERTIFICATE No ................. Pre.-Extsttllg .............
HOUSE NUMBER . ~60 ......... Street .. 8.Qt~tk/'I~'bor..L~'r~e ...................
........................................ ~.Q~i~, . New. ,YO.~,... ..............