HomeMy WebLinkAboutMarco, Phil ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATI_ON.~)~_FICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
~, Sbuthold Towr/'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:
Michelle L. Martocchia, Southold Town Clerk's Office
DATED: November 30, 2005
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3544
Construction Permit submitted by:
for a Cesspool/Septic Tank
Carl Argila
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE J
DISAPPROVE
Dated
ELIZABETH A. NEVILLE
TOWN CLERK
REOISTE~I~ 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
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10 ~or
Applicant Mailing Ad&ess
Septic Tank or Cesspool Iv
Non-Residential ~ $25 __
Brief Description of Proposed Construction or Alteration
Application No,~.--~%~
Permit No,
Location of Proposed Construction/Alteration:
Owner of Property: f~/~/,~.) ~'~7Z ~ ,
Owner Mailing Address: ~/-~/'~
Name and phone number of contact person
Tax Map No:Fo ¢'o Section 6~"~ Block lY /
Cross st~et --~,.~, ~ f/e~ {'~'
NOTE: LOCATION MAP ~ST B~ S~EO W~
co~sr~v~o~ ~o~s s~~~ ~ p~
[t APPLICATION. NEW
PARTMENT APPROVAL
· Datd