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DEPARTMENT OF BUILDINGS
TOWN OF RYE, N. Y.
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icati*on toTakeDownBm'61di*ng
To the INSPECTOR OF BUILDINGS:
Application is hereby made to the Inspector of Buildings of the Town of Rye for a permit to take down the build-
ing described below.
It is agreed that if such permission be granted, such building will be taken down in conformity with this application,
and the statements of the work thereof as approved by the Inspector of Buildings, and that all State laws, by-laws and
ordinances of the Town of Rye, and rules, regulations and orders of any board, body or department, so far as the same
may be pertinent, shall be complied with.
1. Name of Owner ............... ........... .. ......................................................................................................................................................................................
Addressof Owner.............................................. �.......... .................... ........... ..............................................................................................................................
2. Name of Contractor...............................'............................................. ...................,..................................................................................................
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Addressof Contractor................................... .................. ... ........................................................................................................................................I............
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3. Location of building at present..............«:�.......................... ....... ......... ..... ... .......... ...........................................................
.................................................................................................................. ........r..... ..... ..................................................................................................................
........................................................................................... ; Lot number............: a
Block......?............. Section.......,............ Map of......... ..... .. . .. . ............................................................................................................................. ..............
StreetNumber.... ................. Street or Avenue..................................................................... ........... . ......... ................. ...............................................I...... ..
4. Style of building.......................................t::..............................................................................................................................................................................................................
5. Will it be necessary to occupy any public highway, and if so, has permission been obtained from the Town Board?
...................................................................................... 9............................................................................................................................................................................................
Dated, Town of Rye, N. Y................... :................,....................., 1� ........
Signatureof Applicant....................... .............. . .....t........ ........................................................
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Address....................... ........... ...............................................,.......................................................
STATE OF NEW YORK, ,
ss.:
COUNTY OF WESTCHESTER.
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................................................. ......... ..................being duly sworn, deposes and says that he is.......................................
.......................................................................................................................................................the applicant above named; that he has read the foregoing
application and knows the contents thereof, and the statements therein contained are true of his own knowledge.
Subscribed and sworn to before me
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this... ... ay of......... ................. . . ... .... 1 .....�.
........... .. �.... ....................................................
Notary Pu ic.