HomeMy WebLinkAboutZ-429FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOL~ N.Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at.~/.J~....J~g~l~,T..~gl~ .................................. Street
Map Nol~'t' l~rk ]~l~ock No.
................................................. Lot No .....................................................................
conforms substantially to th~l~j~l~l~lii~,l~t~j~t~i~:l~allll~J~~~~lJl~m~-
~u~lding ~iste~ prior to ~Rr. 23, 1957, - re, deled 19~9 .
........................................................ , '~ ........ ~~t~~w~ ~A'~ .............................
dat~ ..................................... , 19 ........ , ~~J:~ ~~ all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ..............
.......... ...............................................................................................
This certificate is issued to ...~?.~.......?.o.~.o.~..~....~....~...o.~ .......... .(....~....e.?..! .................................................
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector