HomeMy WebLinkAboutCVS Pharmacy ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
'FO:
'~FICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 17, 2005
Transmitted herewith is a copy of application No. 3445NR lbr a Cesspool/Septic Tank Construction
Permit submitted by:
CVS Pharmacy (Mattituck CVS LLC)
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 re-~iexved the application and location map of the project cited above and make the following
recommendations:
APPROVE ~
DISAPPROVE
Dated
ELIZABETH A. NE~.T.E
TOWN CLERK
REGISTRAR OF ~'ITAL STATISTICS
MARRIAGE OFFICER
RECORDS MAI~AG~NT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 or Non-Residential ~ $25 J Application
Permit No.
Applicant Name //~ b/'~' C.~
Applic~t M~l~g Ad.ess ~ /
S~tic T~ ~or Cesspool
Brief Description of Propos~ Cons~ction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Owner Property Address: ~ ~'~2_~ /t~ ~2,3'~ /rjg~
Name ~d phone number of contact person ~~[ O
T~ Map No:/06~ Section /~ Block ~ ~t d O. OO ~
Cross Street ~
NOTE: LOCATION M~ MUST BE SUBMITTED ~TH APPLICATION. ~W
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