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HomeMy WebLinkAboutZ-6671 FORM NO. 4' TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office . Southold, N., Y. Certificate Of Occupancy No"... (O(� 7 Date Se 1 THIS.'CERTIFIES,thatr,.the,buildin located at P/8 E $e,A 81 ,AVe ...Street _ Map-No :`� : . Block No Lot No. Fishery I eland l�t.Y. cdnforms`substaritialiy.to the a en g` :on J f w 1 ' daeTbuiit, ' •b®foTe: .Apx '23. :, w19:5�. pursuant •to 'which � ogaupancy . ,..,..- :. 6669 dated+ . .8ep 5 ', 19 75•, was issued, and conforms to all of the require- ments of,the,.apphcable�-provisions of the.law:-,The�occupancy for.which ahis.certificate is,,.. issued is. PAVata.,oxsa., Y4 gy..dzorellsn� t 7..ot ap ro.Fa4-by-Ad'-A,FRea 't:8/�4�/75)' The certificate is issued to; .teOrg & .t3rac,�e :heGrie . . . . . . . . th�mel's: . . . . . . . 1 (owner-,•lessee or tenant) of the aforesaid building. Suffolk County Department of Aealth'4:PPQ val.. „pre•. ,exigting ;§ UNDERWRITERS CERTIFICATE No.,. .,prew,ax9ati:ng. . . .'. . . . . . . . . . . . . . . . HOUSE NUMBER . . . .none . . : . . Street . . . . ' . . . . . . . . . . . . . . . . . . . . . . . . . . ..... : r : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . r: .,• • '. • .C.L.Q. Building Inspec r cv, 0 7 yi�� •P (EA SU tiCt?� F�Dt� U,`S. •cza�ST��.G EO Dt_'T�c s�°c�V>rY "TK.Id�IGI:lLA-�•towl 5i ATIoN,; ��;P�Gts�� j S;sq.4. 6 r� T N �rti Q to . N N �•• s.�3°So W 9.97' IVo ►� s V Co 7 - O E• 7, . .• _u G�egANtEE17 TO.i.TwE: Tc.�c�:E- Gu:ARAtJT E E - . COUIt�3.1�1Y �,�aD`. /;O►L L/t►N'"A1J D F'�LA►�cQ.S - sat •►L.orlct :ar,:c=:e: coezpa.►.IcVL W THr&,M11at"U" 5. F'ccz YOQ1G oTAT'E. L0►•Nfl TITLE PLAID OF 'PKOYEZTY . oFjs 51� TOO gE .coNVEYE[7 TO ALLM4 AW9 F.KXMCES E.SEW Lo"r NFEW YORK. 37704 1'l So VT C*A, Arb_-M t_vA-MNe 1;KID