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Z-6734
FORM NO. 4 TOWN' OF . SOUTHOLD BUILDING DEPARTMENT' Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Date . . . . . . . . ::Oct: 19. THIS CERTIFIES that the building located at . IN ., PU:E M.APA4 Street Map No: �''`':'r:: . . Block No. . . . ®. . . . .Lot No, 24 QU $'emon u-t' ±,03. One family di Ilillp.,, built conforms substantially to the p i aii�; o � Y iic iing�!der¢ i e Xgk4 �mr's; i; g Cer t•?s'i,cafe Of occupancy dated :be-,f o=e. ?�'? . .?3 . ., 19. .57 pursuant to which Huffdm—,e rub,No. dated . . . . . . . . . . . . .. . . . . : ., 19:75., 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.iVa.,tc one f�.�il. . . �; 1� �Z ti�z i�1? �ecossm:��%..bz�7?d?�� �. . ' `' ► g �,a3.3: -. The certificate is issued to I �- ��' . �. . . . . ? ��=�' . . : . . . . . . . . . . . . : . �� d©�? b®thou (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval :.XX' w:9xA"3t*.n UNDERWRITERS CERTIFICATE No. . . . 3 a A::.: .. .. .w a? . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector MARK. N 51°20'20"E 25.6V Ap CO W o s' 0 O 0 0 0 %00 ` lA-Jx 05 �too 0 O 11 �i Z � - 2 NOTE: Coordinate distances �t t Nam are measured from U.S. Coast and Geodetic Survey 0 .�, Triangulation Station 1� i° "CHOCOMOUNT 2" o a � 0 `� ? r N_ O g�51 MATCH M 0- t� AR I( oe o� S 8302410p11E �,o AREA= 92.64' o� � 1.68 t ACres 00 waft 01 4a - `dji\ ,•'.i' � �S@t� _ COL AD A GUARANTEED TO THE TITLE GUARANTEE ti43 O� ,`� COMPANY AND HELEN REED IN o moo. � O ACCORDANCE WITH THE MINIMUM ��` STANDARDS FOR TITLE SURVEYS N7 - �'' �� v OF THEN EW YORK STATE LAND f3s89.34 �� PLAN MADE FOR TITLE . ASSOCIATION. ., ; • ,� H E L E N 'REED • T ITL•E -N0. 1290152 °TOM t9-T5) BLOCK 10 'LOT S 2 m° N FISHERS ISLAND N. Y. Scaled'-50' Chandler,Palmer&King hh �' AUGUST9, 1975 . Q . Q` r