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HomeMy WebLinkAboutZ-8091 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . . . . . . . . . . . Date . . . . . . . . . . . . . . . .°R `��., 197Z THIS CERTIFIES that the building located at �5. . P'�!�` 9� . `'� . . Street Map No. . . . Y. . . . . . . Bloc No. . . . . . . . . . .Lot No . . . r am: conforms substantially to the ied . . °. . . . . . . . .{ . : -�. ., 19 45 7 pursuant to which Pao. 7,.&ID W dated . . . . . . . . . -� . . . ., 19�2 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for �whii`ch this certificate is issued is , :,.. c� �<_-C. F cam-,, :t�,I. . . . . . . �Q""`' '( . . .V,%Aj o %-�R• � The certificate is issued to . C� � l . . . F ^ f:� �- . . . . . . . . . . . . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval ,f!1 . . . . . . . . . . . . . . . . . . , � '"< , UNDERWRITERS CERTIFICATE No. U! :r. . . . . . "'. . �. . . . . . . . . . . . HOUSE NUMBER . . . . .!����Street . . `��':�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector. s� �/F 10 ao oo AREA = �-:CcSi Ac�Qs-F sit e nPpe S ?T• . 0 :P. Trees tj 0 ry Ste!} k • _ To .._ - f• ..nAx 1Ftr To 6E cogy - �. - Gv1MARA �EoRGE - ; .• t -® AREA 1-oS± A«�g ;, * '. r c ' O / r -u, s ai° 2i 48" w7 141.55'00 cl i � co Eos4 "- �wnlrG N M A�19?4 tu Ito Alp. = O.qS; Ades f Z 0 0 �d' ,v SLY,