HomeMy WebLinkAboutManzi Homes
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 153095 Main Road
P,O, Box 1179
Southold, New York 11971
Fax (631) 7615.6145
Telephone (631) 765-1800
southoldtown,northfork.net
...
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
Southold Town Building Department
FROM:
Michelle 1. Martocchia, Southold Town Clerk's Office
DATED:
April 10, 2006
RE:
Cesspool ConstmctionlAlteration Application
Transmitted herewith is a copy of application No, 3586 for a CesspooJ/Septic Tank
ConstmctionlAlteration Permit submitted by:
Manzi Homes Inc.
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,
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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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Comments:
DISAPPROVE
~~~~~~:~~~.
7U-~,~~
Signature
~....~ /( J-oob
Dated
,
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICEB:
FREEDOM OF INFORMATION OFFICER
Town Hall, 153095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765.6145
Telephone (631) 765.1800
sou thold town. northfor k. 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 ,~ Non-Residential@$25_
Application No~5 '31.0
--
Permit No,
ApplicantName (flei/) 2:, 1-fu/'}l(.Jj In (
Applicant Mailing Address ? C; t~C;;"'- /OJ" (2,0( Lt Y ?o j" T
IV '--I JJ77r
S~ptic tank~or Cesspool---=::",
Brief Description of Proposed Constmction or Alteration
Location of Proposed Construction/Alteration:
Owner ofProperty:^-'i v\ "'Z', lto (Yl c> r I ~l (
Owner Mailing Address:? a l\ ("J.-Ir 70,1..
}J,y J177.r
Owner Property Address: 215' () 7 he-- I c.j c) i... ue, ~~
ECl\'\ v,-LCriv" I ,v 'f II 9 ~'?9
Name and phone number of contact person ,,,_J i C lIe> I \ € 7 Cj if - / 0 .~ 9
,
Section c:., ~~G Block :1 Lot 1,-:;1 S-
I\r'l, i r-.. 1'2 c1.
(2.,QC ~ y
?c;"t
Tax Map No:
Cross Street (2.. T e
,;<,) 12\
NOTE: LOCATION MAP MUST BE SUBMITTED
CONSTRUCTION REQUIRES SURVEY W AL
/
WITH APPLICATION. NEW
~EPARTMENT ~P~OV AL
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Date
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