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HomeMy WebLinkAboutDooney, JuliePermiJ No. Fee $ DATE APPLICANT NAME: PECONIC CESSPOOL APPLICANT ADDRESS: P.o. BOX 972 MATTITUCK, NEW YORK 11952' SEPTIC CESSPOOL ~ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: LOCATION OF PROPOSED CONSTi'~CTION ~ ALTERATION: OWNER OF PROPERTY: oW,ER MA,L,NO ADDRESS:U ~? ~L~.. ~ OWNER PROPERTY ADDRESS: ~OO ~ ~ ' TELEPHONE NUMBER C'~ CONTACT PERSON: TAX MAP NO.: Se~Uo. /~ ~to~k~p~/ Lot CROSS STREET: ~ ~ ~. BUILDING PERMIT NU~BER C~OSS REFERENCE: RECEIVED BY: DATE: Must be attached hereto be/ore iJev.llt may be issued. /l'own C~O ffice 7.1,~ ~/~, _ ~n~] ca n t 2600 SIr~-~U:~]zF- I~ Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 07/27/04 Transaction(s): Septic Permit - Construct - Resid. Receipt'//: 8105 Subtotal $10.00 Check#: 8105 Total Paid: $10.00 Name: Peconic, Cesspool P O Box 972 Mattituck, NY 11952 Clerk ID: LINDAC Intemal ID: 98792