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Home My WebLink AboutZ-6101 FORM NO. 4 TOWN OF SOUTHOLD li BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. 1 I Certificate Of Occupancy , f No. .Z610-1. . . . . . Date . . . . . . . . . . . . . .uep I THIS CERTIFIES'.that the building located atquestz an . .•i o Aves o Street Map No(- ck No. Lot No. P `t ans ior_�ous Q ��is�iers Island 1 �� conforms substantially to the Vi i�Vi tYQ, /f /VAS/�iV♦1n VPVeYr�� vhv Vo�1Pb i\Idd�r iT IN-6 1 eA f a,1L,.'�lastxx il,`{.1�L11L111k11'.RYtidS11S1�1f1t11111.h.1�1�.1L'1.,:ti,.L1.('+.lalt X� LX.4 �r diatedl,t. b'efo�'e ttpr; 19. 5�. pursuant to which 2t&f'k e 0�06�101ncY dated/. . . . . . . . Sept. . . .11. . . ., 1974. ., 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'. .Prlva.te• •one family.&T-911ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .0s-mald. ,.; .Lord . . . . . . . Ui,me•r • • • • (owner, lessee or tenant) /of the aforesaid building. Suffolk County Department of Health Approval pre— existdng. ', . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. p,Q—e1 i,ti,g. . . . . . . . . . . . . . ! HOUSE NUMBER . .none. . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . . . .I'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . �I Building Inspector;' r j II, I it I 1