HomeMy WebLinkAboutLocastro, Andy ELI~kBETH A. NEVILLE
/ TOWN CLERK
REGISTtL~R OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hail, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED: March 18, 2004
Transmitted herewiti~ is a copy of application No.
Permit submitted by:
Andy Locastro
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
I 8 2004
3292 for a Cesspool/Septic Tank Construction
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please cgmplete the form below and return it to me.
Linda J. Cooper
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Comments:
EIAZABETH A. NEVILLE
TOWN CLI~P,K
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O, Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephon~ (631) 765-1560
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 .'/or Non-Residential ~ $25 __
Application No.
Permit No.
Location of Proposed Construction/Alteration:
Owner of Property: .. A&~,~ {--OCr,
OwnerMailing^ddress:/O /E.r'r2eS f--
Owner Property Address: L. o t- ~ ~ q, /... ~L d c~CI ].~ i r~ Jr-- q'
N. ame and phone number of contact person C._~a... }.l 5 I ~o~1.5 ~ ~/ 7Z 7'
TaxMapNo: Section /2.~ Block k.~ Lot '~q, 20
NOTE: LOCATION MAP MU.~I~xE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTIONREQUIRES~THDEPARTMENTAPPRO/AL/.-~/. - --~"--.]/"//~ '~:' 0
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