HomeMy WebLinkAboutSchiavetta RobertOFFICE OF THE TOWN CLERK
, Town of Southold
Judith T. Terry, Town Clerk
T~own Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Application N o.,~'~O~--
Construction t.~
Alteration
Telephone . Residential ~
(516) 76~/~ /~ ' Non-Residential
,/ , ~'/.,~, ~ /]~TOWN OF SOUTHOLO
APPLICATION RECEIVED'
CONSTRUCTION or ALTERATION PERMIT JUL 3 1 2003
SEPTIC TANK or CESSPOOL
Southold Town Cle~'k
Permit No.
Fee '$
APPLICANT NAME:
DATE 7/29/93
APPLICANT ADDRESS:
In.land Homes Inc.
PO box l17,mattit~ck,~..Y.,l1952
SEPTIC CESSPOOL ~c~
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: Robert & Eileen Schiavetta
OWNER MAILING ADDRESS: west islip,N.¥.,l1795
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON:... Inland Homes,298 9696
TAX MAP NO,: Section 57 Block I Lot 3
CROSS STREET: RC-J~ 25
BUILDING PERM.IT NUMBER CROSS REFERENCE:
SIgnafure ~0 er'
RECEIVED BY:
Town 'cler'l~i~'s Office "--
DATE:
SUFFOLK C~UNTY DEPARTMENT OF HEALTH SERVJC£S
PERI~IT r-on J~PROVAL OF CONSTRUCTION [=OR A
S~NeLF. F~lt;Y R£SID£NCE ON LY
FOR MAXIMUM (~ "~ , , BEDROOMS , )~
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