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Home My WebLink AboutMinhas, Absar ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER ! ~ t ----~i { OFFICE OF THE TOWN CLERK ! dH 2 3 2005 TOWN or SOUTHOLD ,_ TO~Y.'_'~ 2)L.Sp~0~hol_d__T_~wn Bmldmg 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: June 22, 2005 Transmitted herewith is a copy of application No. Permit submitted by: 3481 for a Cesspool/Septic T. ank Construction Absar & Riffat Minhas 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 Comments: Signature · ELIZABETH A. NEVILLE TOWN CLERK 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 Telephone (631) 765-1800 southoldtown.no, rthfork.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 __ Applicant Name ['k~:'s ~k, ~, ~ . Applicant Mailing Address ~g ~-- X/k/ Septic Tank or Cesspool.__ Brief Description of Proposed Construction or Alteration Application No. ~q~[ Permit No. Location of Proposed Construction/Alteration: Owner of Property: ~~'~ % 1~'' l~- Owner Mailing Address: ~~ Own~r..Property Address: g '~ Name' and phone number o f contact pe.r~o~n Tax Map No: Section Cross Street X~ [ ~ ~ ~ ~m NOTE: LOCATION MAP MUST BE SUBMITTED ~TH APPLICATION. NEW CONSTRUCTION ~QUI~S SURVEY WITH HE~TH DEP~TMENT APPROV~ Date Received by~~ Si~at~re of Applic~t 0 z m oiO~ 0 0 n C ~ 0 C ,O 01