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HomeMy WebLinkAboutKraus 7 ' ELIZABETH A.NEVILLE,MMC ��� mf �, Town Hall,53095 Main Road TOWN CLERK " P.O. Box 1179 k Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 4 w� Fax(631) 765-6145 MARRIAGE OFFICER 0jTelephone(631)765-1800 RECORDS MANAGEMENT OFFICERo �. www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER � . OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: July 8, 2019 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4767 for a Cesspool/Septic Tank Construction Permit submitted by: Discount Cesspool and Drain for Robert Kraus Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Signature Dated 1 � �v ELIZABETH A.NEVILLE Town Hall, 53095 Main Road P.O. ox 1179 TOWN CLERK k or New NeYork 11971 REGISTRAR OF VITAL STATISTICS Southold, (,Ne York 45 MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER � � Telephone (631) 7651800 �y � � ° FREEDOM OF INFORMATION OFFICER �. southolto .nortor .net `Izzr �� 1 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL r SEPTIC TANK esi ential@$10 V1 or Non-ResidentialApplication o. Permit No. ApplicantName —� w �c_ is LA. Applicant Mailing Address . _ � ...._ � —` ""� ... _� w _...�... _. _.... ...... _.. . ...._..... .,... .__...—.._�._ j Se tic Tani . r Cesspoo n of Proposed Construction or ltNala -.._� Brief Description Location of Proposed Construction/Alteration: Owner Mailing Addres . , Owner Property Addi-es Name and hone number of contact er p p�,. son im.- ' Tax Map No: Section � Block _... ......_. cis...µ... .... Lot .�. . M. Cross Street �.�.... p, _ ..._ . ......w .......� � ..�... ..�� .w. �� .w... �.._ ..... NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SU EY WITH HEALTH D] PARTME T APPROVAL iature of Applicant Date r eceive b N *, p -QW--I 0 IM AOMMILM VA ADD Crl � LO :7JA,"M"k,Y lis h ViE1Ld,S"BCIN 01UCT*4 Zoo or fm mw ywx v4l " 1% R Tws SURVEY M"NOS 024411�G Elk! FiRV'yok S Ilk=UAL OV U� r as E AI..S"AU NOt Ire ImW4 la K VAUD UW COM EE ENArat.s N :ce,ra+ l 4MKV TO tHE SOWN ES R WHOM IMO E "Vi* PRER,�RED,AnD r4 mus Rl.lw MCC $ r�wslFO WE A=C .�Of $HE��'ONG , tl N uh 'DC7 ASW;1d�'6OMM.1 kq'4.eu r"'cps., .... "•�"�°C.•d�'� �"w'..Y�..' �?�w ,W;�'+:: e'w�+""y°cru A,.r' �i��.:�' "�",n�^�.,�."." �* •i