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HomeMy WebLinkAboutConlon, Nancy , ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER ~ --~-"- (i n I r€ rr; rcn-n;~-~ :i \:" 'L\~~-\Lt [;jl0FFICE OF THE TOWN CLERK ," FEB I 7' ) ! ill I! TOWN OF SOUTHOLD Town Hall. /53095 Main Road P,O, Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork, net ~-, T0: ," ~')\/.:i~ I .. SolitMld Town Building Department . , , .) ~--~ FROM: Michelle 1. Martocchia, Southold Town Clerk's Office DATED: Febmary 17, 2006 RE: Cesspool ConstmctionlAlteration Application Transmitted herewith is a copy of application No. 3568 for a CesspooJ/Septic Tank Constmctionl Alteration Permit submitted by: Nancv Conlon 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 ~ DISAPPROVE ~- " Comments: -~~~r~~~~~-~ ~;&I~ Signature ~ ~7 ft~ Dated' , EUZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECQRDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER .., Town Hall, 53095 Main Road P,O, Box 1179 Southold, New York 11971 Fax (631) 7615-6145 Telephone (631) 766-1800 southoldtown, northfork,net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$loL or Non-Residential @$25_ Application N03Sb8' Permit No. Applicant Name NtJ n (~ Con \ {f'0. Applicant Mailing Address () b oJ ." L/ Pt" U11Y'\ I (I NLJ II qS--X' Septic Tank---.:or Cesspool_ Brief Description of Pro posed Constmction or Alteration h'\o.r' dv Location of Proposed Constmctionl Alteration: Owner of Property: NOon ~ C-n-n I ()YJ Owner Mailing Address: Po 6 N 5 </ 3\ <.) HVAT' "'CjtvYi 6\ ..;d.. P<'L.-OYllC Nj IIQ)'8 Owner Property Address: Name and phone number of contact person Tax Map No: Section iOoo Cross Street I" I ~ldckO J <0, -Lj - ~ Lot ~ I.- / r; 7 , 0' NOTE:' LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEP ARTMENT APPROVAL ~~. 7-/15/010 Si lure of phcant Date ReceiVedbY~~~ '" :I: ::.:: ... . 0 a: '" i :2 '" 0::00 0 -J i8 1 IS '" >- '" '" 0 I ifJ.~ c:: '" r--::--- ~ ~ , '" -J ( -"11 ~ e... N i _& '" " -J 1 ~ z 0 "' ci , ~- e... ~- a: z 00 ~ ~$ "- "- a: ~ N 0 0 ~ <::> ~ Q)~ !::. '" <::> e ;;; ~ ~l a: 0 >- "' '" '" <oi OQ) e z > ,- " .. ..,.. z x Z 0 ,S;> 0 ~ "- 0 " L~~r ~ ~ Il " " ~ . 0 -. € 0 ::> ",<n a: @::s ... ,~ u ... :r~ Q:: CD .~ .. '" .. tt! '" '" zi!: ~ ~ <C(J) VI u z ci ~o ~"n .. >. 01 :J::;I LoJz ~y~ ~ a: ::> ' ~, (1)002 :>, 'i <n ~-. a: z.... LIl ZVi ~..... <C(Zl .~ 1;1 & z. ~ - 0 ~~ gEl 8~ 0 ~ ~:: ",E .>.~ N 0'11- a..z z~ , filH ...J 00"'1- I N ... " -z ~~ g~ N ~f -.... f !::. ....u "J\~ ;;; 'C\'t ~ ,l! ,;: e ~ ~i v .. w /-,\ i'O % ---- ~ I I ~ \ _/ Q ~ q ~i~i 'I ~ w ~~~ ! j~~lii ~":~ Q 5 0 ~ !~~ i~W il~.i!i :1 z~ (!) o~ ~~~ ;ii~ ~~'I~~~ I~~ z ~~ - ~~"'-~ !;~ Ij~ ~!! ~~ ~8; ~b! ;J; ~~glli I~I li~~ ~~I; ~~r !~' !i ~~~ ~ ~ ~.~ ~~ ~ls '>-1/ /_,/,>;1- I I \'\~~ 00 "J\ 'C\ V '& SO. ~ / ~ 7.6.- ~ ~ ~ Ul ~ - z ~ ~ \ c '" ~ <0 ~ ':>) t , ~ ~ Q ~ 00 ~ ~d 0 ~ ~. 0;0' \) [;:l ~ ~~ d~ ~lll ~~~ Cl ~ g n !~ I~ <: ~ 0 z . :1 =1; ~ 2 :0V~ tJ . I' i ~ c: G> =~ ;.. ;~ o ~ ~ - '" - i~ ':l if? . if? < <: ~ .,..., ~ V:l ~ ~ >- ~ Ql " '" Cl l<.J "" ~ l- i;] '" ~ ~ ~~ d~ ~ o ~ '%> ~<;, ~<..-v I) ,.j>\ ~+-<;,~ I)? -.;fiY''' % "J\ 'C\ V /-,\ I } \ / '- .