HomeMy WebLinkAboutManzi Homes (2) ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF [NFORMATIO_N_Q.E. EIC~R
~ "~ ~i[i ,OFFICE OF THE TOWN CLERK
l!i'~,~. 31J!_ i d~'~I''~'~1: !LdI- TOWN OF SOUTHOLD
TO: ~u. fl/bld-Towrr-~uildi ng Department
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax [631) 765-6145
Telephone (631) 765-1800
southoldtown.nort h fork.net
FROM:
Linda J. Cooper, Southold Town Clerk's Office
DATED: July 14, 2005
Transmitted herewith is a cop5' of application No. 3490
Permit submitted by:
for a Cesspool/Septic Tank Construction
Manzi Homes, Inc.
Please review the application and location map and advise if the project has receb,'ed Suffolk County
Health Department approval and if this office may issue the pemfit.
Please complete the form below aod 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:
Si~m~ature
OFlqCg OF TII~ ~OWN CLgi~
TOWN OF SOUTIIOLD
P.O. ~X i 179
Telephone
(516) 765-1801
Application No.~l~ ~
Construction
Alteration
$10.00 - Residential ~
$25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
"'for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
DATE
oF--
DESCRIPTION OF PROPOSED .CONSTRUCT. ION'~O~..
LOCATION MAP: Must be .ttached hereto b~Orej:.pem.it'maY be. issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:'
OWNER OF PROPERTY: ,~~'~ ~er I~C ,
OWNER MAILING ADDRESS:~-O
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO.: Section.
cross S R ET:
BUILDING' PERMIT NUMBER CROSS ' .
' 'Tbwn Clerk ~ Office
TOTAL PLOT AREA: 78,658 ~
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MEDAY AVENUE ~.
~ONUMENT .
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