HomeMy WebLinkAboutZ-420FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located
Map No..~ ............. Block No ...... ~ ......... Lot No. ~ .......... ~%~.~.*...~eX~ ...................
conforms substantially ~.~~~m~m ~,~
....... ...........
doted ........ ~ .~-=~.= ~ ...................... , 19 ........ , p. -;. ~.-d ~ m~p' ~'-~ ~ ~lhe requirements
of t~e opplicoble provisions of t~e Iow. The occuponcy for w~ich t~is certificote is issued is ..............
............................ ~tYa~ ..~..~..dV~l~ ~ n[ ...................................................................
This certificate is issued to .....~e..~l~-..Oe.-8~!~~9...~ ....................................
(owner, lessee or tenont)
of the oforesoid building.
HOWARD