HomeMy WebLinkAboutCriblez, Gaston
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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. northfor k. net
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFIC
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FICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
. ui.g Department
FROM:
Lynda M Bohn, Southold Town Clerk's Office
DATED:
July 10, 2006
Transmitted herewith is a copy of application No. 3611
Permit submitted by:
for a CesspoollSeptic Tank Construction
Gaston Criblez
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.
Lynda M Bohn
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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: ~~ ~~~~~ ~ ~v"~~e
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Signature
07/3 ft 6
Dated / /
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
., Town Hall, 53095 Main Roal
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
sou tholdtown .northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD W ASTEW ATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $IO~ or Non-Residential @$25_
Application No.'3& II
Permit No.
AppIicantNarne Gaston Criblez by Charles R. Cuddy, Esq.
Applicant Mailing Address P . 0 . Box 1 547
Riv~rh~~n NY 11Q01
Septic Tank-x- or Cesspool_ .
Brief Description of Pro posed Construction or Alteration
r"t"\nc:::.t-rllr't-inn nf c:::.;nglp f;:llmily nw~lling
Location of Proposed Construction! Alteration:
Owner of Property: Gaston Criblez and Rosemarie Criblez
Owner Mailing Address: 326 I\rleiqh Rd.. Douqlaston, NY 11363
Owner Property Address: 1315 Watersedge Way, Southold, NY 11971
Name and phone number of contact person ~h" r 1 P <: R
Tax Map No: Section RR Block "
Cross Street Gi n r,,,np
~llnny. F,<:q
<!;ll 8200
Lot O!;R 00
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
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Signature of Applican
7-7- CG
Date
Received by:
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