HomeMy WebLinkAboutMarbee Realty LLC
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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.northfork,net
~,-::""c. _~':~*FICE OF THE TOWN CLERK
'- \ ,." ~ \ \~) '" \ TOWN OF SOUTHOLD
tEB & '1.1 \'.1 \
\ .' .S.0ft~8t(tT9~i~~g Department
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FROM: \___JtPna:J.C;~per, Southold Town Clerk's Office
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TO:
DATED:
Transmitted herewith is a copy of application No. 3564 for a Cesspool/Septic Tank Constmction or
Alteration Permit submitted by:
Marbee Realty LIe. - Joseph L. Disaluo MM
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], Cooper
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
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DISAPPROVE
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Dated / ,
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ELIZABETH A. NEVILLE ... ~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
.....
Town Hall, 63095 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 W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 /' or Non-Residential @ $25 _
Iv~t{) C-f)AJ S '\^u. C'\f6-V
Applicant Name
Applicant Mailing Address
e.
Septic Tank_or Cesspool_
Brief Description of Proposed Constmction or Alteration
Location of Proposed ConstmctionlAlteration: Jo'}~t,,~, f:J,' Si\L.l.IO Hili
Owner of Property: filM ftJ ee, ~e A ({'( It....c.
Owner Mailing Address: "C-d 4. /() - ^ A /:J
e c..... I:J 01(" ;.0 L.,A;IUVI~C() )Jf l(ro3
Owner Property Address: D -S' ~
()Are/VT . ,A:J.C( , ~I (0
Name and phone number of contact person ' 10 '" y4~ h., fJ I S4l..U 0 b Y:-7 - lob
Tax Map No: Section ~nrD Block I [f" 0 ~Lot . ;)-. fa . 9
Cross Street d-O~~ _"'A IT AtJ {)A/~I\./r
NOTE: LOCATION MAP MUST BE SUBl\uTl'IW WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY H REALm DEP TMENT APPROVAL
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Date
Signature
Received by: ~~
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