HomeMy WebLinkAboutADF Ventures ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
REGIS'T'RAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER _ Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER n www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER yt=
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: October 30,2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4809 for a Cesspool/Septic Tank Construction
Permit submitted by:
ADF Ventures LLC.
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: Final approval required from the Suffolk County Health Department
Signature
Dated
ELIZABETH A,NEVILLE f t�� �= Town Hall,53095'fain Read
TOWNI CLERK RO.Box 1179
Southold,New York 12971
REGIST=RAR OF VITAL STATISTICS
MARRLAGE OFFICER Fax:6311 765-6145
RECORDS MANAGEMENT OFFICER `:�, ;. ��� Wephone(63 761-'_890
FREEDOM OF WFO&MAT ON OFFICER '�` � � •'' southoldtown.norahfor c.net
OFFICE OF THE TOWNCLERK
TOWN OF SOUTHOLD
SOUTFiC)I.DWAS 'ATERDIST ICT
APPLICATION
CONSTRUCTION or ALTERATION PEItxNUT
CESSPOOL or SEPTIC TANK
Residential @$10 ✓ or -Non-Resoiential @$25� Application No,L1�04
Permit No,
ApplicantName _
Applicant Mailing Addres
Septic Tae.k e:`Cc spool
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ST HOLE DATA NOTES:
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