HomeMy WebLinkAboutMangiamele VincentOFFICE OF THE TOWN CLERK
Town of
Judith T. Terry, Town Clerk
Town Hall, 5309S Main Road
P. O, Box 1179
Southold, New Yoi'k 11971
Telephone
(516) 765~1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
Application N c~ '~__
Construction L
Alteration_ /
Residential /
Non-Residential
RECEIVED
'APPLICATION
CONSTRUCTION or ALTERATION PERMIT
Southold Town Clerk
SEPTIC TANK or CESSPOOL
Permit No.
m
DATE Set~;,~= 5, 2003
APPLICANT NAME: ~ C. I~Lr~ Jr.
APPLICANT ADDRESS: 145 R~ ~ .......
Nanc~v'ille, .New' YC~k 11949 ......
SEPtiC CESSPOOL X
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: v~L az~l 9az'caza MancJi-am-te
OWNER MAILING ADDRESS: 1Nid~l~O:urb
OWNER PROPERTY ADDRESS:__ ]200~rayA~ue
... Tm~e.l., ~ Yc~k .........
TELEPHONE NUMBER OF CONTACT PERSON: (63~)-43~
TAX MAP NO.: Section,,
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
RECEIVED BY:
DATE:
Town ClerR's Offi'~e
$ 20'4-8'50"E
PROPOSED 5 EIEDROOW
PROPOSED ~ANiTARY ~T~t,t
1,500 GAL SEPTIC TANK &
(2) S#f~ x S' DEEP
LOT
2O0.0O'
LOT No. 43
LOT No. 40
o
LOT No. 44 ~o
LOT N9. 47 ~
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