HomeMy WebLinkAboutAbouezzi ZiadOTFICE O? T~ TOWN Cb£
TO%~' OF SOUTHOLD
SOLOmOn, h~w YORK
Ta!ephone
(516) 765~1801
Application N o ~.~/~
Constructi6n
Alteration
$10.00 - Resldentla].
$25.00 -Ndn-ResJdential
TOWN OF SOUTHQLD
SOUTHOLD V,IASTEWATER DISPOSAL DISTRICT
APPLICATION
CONST'RUCTION or ALTERATION PERMIT
SEPTIC TAN}< or CESSPOOL
Pe,,,a, No.
DATE_
APPLICANT NAME:
APPLICANT ADDRESS:
LOCATION MAP: Must be attached hereto before permit' may be Issued,
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:' ..
OYq',ER OF PROPERTY: ~[~C~ flg~UEZZ/ ~t~l~a~,~ ,~~'
'. ~ .... ~.~
O57h'ER PROPERTY APDRESS:~2t~,o~,,~ o ~_
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO.: Section ~ Block ~
c~oss sT~: s~&~ ~
BUILDING PERMIT NUMBER CROSS REFERENCE:
R..C=i\,.D SY:
DATE:
%own~ Clerk's Office
(n(o3
Lot_,,
LOT' ,'~REA =, 40,641 SCL FT,
F FL ELD/ 57.5
GAR BEV 55.5
fd
mot1
NOTE: LOCk'"lION OF ADJOINERS WFll~
aND SANffARY S~'t'F..~4S BY Omits
AND ARE NOT GuARANi~_t.U.
CERTIFIED ONLY TO:
ZOUMAS CONTRACTING
SUNRISE AB:~ i h[ACT
!NgN B31VA~I.q'~
91 :~161d 9Z
x~Y. uc.
HAROLD F. TRANCHON
TEe ex~sten-ce 07 dgEt o7 way~ an~ Or easement~
of record~ if an,/, not shown are not ~uaranteed
JOB No. 03-277 FiLE No. HIGHPOINT
LOT NUMBER 14-
MAP OF HIGHPOINT AT ~ MARION SEC 1
~JTUATED AT ~ MARION
TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y.
SCALE 1' -: 50' DATE 6-24-200,3
F1L.ED MAP No. 7~80 DATE 1~11-1984
TAX MAP No, O~E~' ONLY} 1000--22--5--14 DISK 2003
" 1,~ HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
IF EI]I]Z P.O. BOX el~
ijfll ee W^ NO R ER- NOR Rr R,
NEW YORK, ~1792
631-~29-4695