HomeMy WebLinkAboutOlivio, Richard ELIZABETH A. NEV~J.F.
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.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
Southold Town Building Department
Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. 3521
Construction Permit submitted by:
Richard Olivo
for a Cesspool/Septic Tank
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 thc 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 folloxving
recommendations:
APPROVE
DISAPPROVE
Comments: ~
...... Signature
2005 /' Dated
J ,
.= "-LO
ELI?ABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATItTIC$
MARRIAGE OFFICER
RECORDS MAHAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
$OUTHOLDAPPLICATIoNW ASTEWATER DISTRICT
.~Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southold~own,northfork.net
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~or Non-Residential ~ $25 __
Applicant Mailing Address ,~_ 5
Septic Tank or Cesspool ~/ '
Brief Description of Proposed Construction or Alteration
Application No. ~'~
Permit No.
Location of Proposed Construction/Alteration:
. - _.
CONS~U~ON ~Q~S S~~H ~TH DE~~ ~PROV~
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