HomeMy WebLinkAboutMcGrath Elizbeth Telephone
(631) 765-1800
Application No.
Construction
Alteration
$10.00 -P, esidential
$25.00 -Non-Residential
~/~ TOWN OF SOUTHOLD
*.. PL,C^T,ON
~/- SEPTIC TANK or CESSPOOL
Permit No.
Fee $
APPLICANT NAME:
PECONIC CESSPOOL
APPLICANT ADDRESS: P.o. Box 972
MATTITUCK, NEW YORK 11952
SEPTIC CESSPOOL
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: .~"l./~.~-~ ~ ~ ~~
OWNER MAILING ADDRESS: /~7~ ~~~
OWNER PROPERTY ADDRESS: c~
TELEPHONE NUMBER C -- CONTACT PERSON:
TAX MAP NO.: Section I/Z~)9 .Block ~7 Lot
CROSS STREET:__ . .,,~ ~
BUILDING PERMIT NUVIBER CP, OSS REFERENCE:
ELIZABETH MC GRATH
1276 NEW SUFFOLK ROAD
CUTCHOGUE