HomeMy WebLinkAboutManzi Homes ELIZABETH A. NEVILLE
TOWN CLERK
REGISTfLa~R OF \rITAL STATISTICS
MARRL~.GE OFFICER
RECORDS ~AGEMENT OFFICER
FREEDOM OF Ii~FORi~IATION OFFICER
Town Hall, 53095 Main Road
P.O- Box 1179
Sou~hold, New York 11971
Fmx (631) 765-6145
Telephone (631) 765-1800
sour holdtown.nor thfork.net
TO:
FROM:
DATED:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTI-IOLD
S outhold Toxxm Building Department
L/nda I. Cooper, Southold Town Clerk's Office
October 6, 2004
Transmitted herewith is a copy of application No. 3380 for a CesspooFSeptic Tank Construgtion
Permit submitted by:
Manzi Homes, Inc.
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 complete 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
Dated
OFFICE oF THE TOWN CLEI~K
TOWNOF SOUTHOLD
ELiZAbETH A. NEVII I g., TOWN CLERK
P,O. BOX' 1 I79
$OUTflOLD. I~W YORK 11971
Telephone
(516) 765-1801
~_~~ ' TOWN OF SO'UTHOLD
d, o '
UTHOLD.WAST~WATER DISPOSAL DIS'~RICT
AiPPLIC.AT ION
for
Application
Cons:Lruction
Alteration
$10.00 ~ Residential
$25.00, - Non-Residential
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL·
Permit No.
Fee ~
DATE '/~'). _ /. ~_ (') .L_/ '.
ADDREss;'. ............
APPLICANT . . , ' .--.~~.','- ":- '
~c ~ ....... ~~ .............. ~-r~ ...... I r~ ~ '-'-.
~,~.,~~,oo~--- .' :'' ~-'-'"".'".":"-:":':'::--:':-~:~':: ":':': '
DESCRIPTION OF.,PROPO'SED..-CONST-RUC.TI~N~O.R-'ALTE~A~I~N: . -
.
LOCATION MAP: Must be attach_e_d hereto befor_e-permit-.may'be' issued.-
LOCATION OF PROPOSED CONSTRUCTION OR .ALTERATION:. "
~~.~-~..' · . ... · .: ,:..
BUILDING PERMIT NUMBER CRO~$ REFE.R~NGE:'. '.:.-.'-:.:;' '
RECEIVED BY:~/J~·
DATE;
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· Town Clerk's OffJce
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