HomeMy WebLinkAboutManno, Joseph
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold. New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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own Building Department
FROM:
Linda 1. Cooper, Southold Town Clerk's Office
DATED:
Febmary 14, 2006
Transmitted herewith is a copy of application No. 3566 for a Cesspool/Septic Tank Constmction
Permit submitted by:
Joseoh Manno
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 J. 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
Comments:
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Dated
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Town Hall, 53095 Main Roa(
.,' P,O, Box 1179
Southold, New York 11971
, Fax (631) 765-61415
Telephone (631) 765-1800
southoldtown, northfork,net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD W ASTEW A TER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$IO_ or Non-Residential @$25_
Application No, ~)tfa
Permit No.
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Applicant Name ~/O.5CJPI/ 'M7'f/ ()
Applicant Mailing Address 2-1 2'- ;(.e;r;~ /?.o
-:Stf)t.J 'rito~
Septic Tank /or Cesspool_ . - 6 ,I, /
BriefDcscription of Proposed Constmction or Alteration )/8iV / /-/1#'" Y /~;f(;O
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Location of Proposed Constmction! Alteration:
Owner of Property: - .,~ r~c;P)/ J1:I~
Owner Mailing Address: 212-0- j./ r:)().(.J:1---s f2 h
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Owner Property Address: Z,tS 5t'<l'11ktp d~~ ;e,~
~'91//(#'~ ("~/ }83j""'24~
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Block? Lot /b-Z
Name and phone number of contact person
Tax Map No:' Section S'C)'
Cross Street ,<S'Ol€.I,l/)II1W
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQJJIRES SUR~Y H EAL H DEP ARTMENT APPROVAL
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