HomeMy WebLinkAboutSerra, ClaraELIZABETH A. NEVILLE, RMC, CMC
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
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
DATED:
RE:
Southold Town Building Department
Carol Hydell, Southold Town Clerk's Office
December 11, 2008
Cesspool Construction Application
Transmitted herewith is a copy of application No. 3845
Permit submitted by:
Melissa Cieetti for Richard& Clara Serra
for a Cesspool/Septic Tank Construction
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 J
DISAPPROVE
Comments:
0~-18-200T 15:02 SOUTHOLD BUILDING DE-PT 1631TG59508
P~E1
.J'own Hail, 63095Main lt~a,
P.O. Box 1179
8outhold, Blew York 11971
Fax (631) ~65-8145
Telephone (681) 765-1800
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OFFICE OF TIlE ~)WN CI,ERK
TOWN OF 80UTHOLD
$OUTHOLD WASTEWATER DISTRICt
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CF, S$['OOL or SEIqlC TANK
Rcsidential(/~$10 ~( or Non-Rmdcntial C¢$25
ApplicaniName ~'~.~'~A ~e-~'~
Aplflication No.
Pcrmit No.
Locaion &Proposed Construction/Alteration:
OwnerofProperty: q2-~r-~Va, cE. ~'r-~> ~ ~
O~erM~Ad~s: ~ ~o~ ~T, /~F~~
N~e ad phone n~bcr of ~utaot pcaon ~ ~ ~c ~W, 2~; .~ ~ · O.) D 0
T~MapNo: IOOOS~fion ~ Block OD ~( ~.l~
NOT~: LOCATION ~ ~flT Bg flUBM~ED WIT~ ~P~CATION, NRW
CONflTRU~ION RgQ~ flURVgY WITH ~I~ D~P~TM~ ~PROV~
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,G1'1'15 DATA
AR.~A · I.g~q4 ~ ~ 8,2,215 5<~. PT.
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