HomeMy WebLinkAboutZ-6101FOI~I NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificnte Of Occupnncy
No..E6t C~1 ...... Date .............. ~ep%. · · -1.1 .... , 19.7~.
THIS CERTIFIES that the building located at E. ques~crian .&. Fox. Aves,. Street
Map No(l,~nsion~ou~ck No..~ ....... Lot No~.. F. ishers. I s.l. an~...]~ ,Y.. ....
~t. b~fb~' ',kph'." 23'" ', 19. ~?. pursuant to which~~~q~$..'q~Y
dated ........ Se~t .... ~ ~ .... , 19~.., 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 . P~.~vate..erie..2ar~.~y. ~ell~ng .......................................
The certificate is issued to . es~ta. ~... Lo2d ....... ~Ee.r .........................
(owner, lessee or ten~t)
of the afores~d building.
Suffolk County Department of Health Approval . .. 9~e-. 6xtst.~ng .................
UNDERWRITERS CERTIFICATE No..~e-exis.~ng .............................
HOUSE NUMBER . .na~e ........ Street ..........................................
Building Inspector