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HomeMy WebLinkAboutPapazahariou, ZahariaELIZABETH A. NEVH J J~.; 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 TO: FROM: DATED: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Southold Town Building Department Carol Hydell, Southold Town Clerk's Office September 3, 2009 TOW, OF'SOLITi~OLO I RE: Cesspool Construction Application Transmitted herewith is a copy of application No. ~ Permit submitted by: Zaharia Papazahariou 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. Carol Hydell I have reviewed the application an~ocation map of the project cited above and make the following recommendations: J APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Deparhnent, Signature ELIZABETH A. NEVILLE 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 SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential ~ $10 or Non-Residential ~ $25 Application No.~ ~ Permit No. Applicant Name Septic Tanl~ or.Cesspool Brief Description of~o~ Location of Proposed Construction/Alteration: 0wner of Property: ~'~.~,~ ~J- t~._ (~ c~9.~,_ ko-4~ ~ Owner Property Address: 7~O ~ ~"-td~-~) . '(~) . Tax Map No://~)O Section. "2"~.'- BI~ ~% Lot ~7~.~ ( Cross Street Vr'~ ~ (~[-3~ ~- L/t~( NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION ~0UI~S SVRWV ~Tq HEnJ~m~?EP~T~NT ~PRpVAr Si~at~ofAppfic~t ~ ~(e I Received by: COUNTY DEPARTMENT Of HEALTH SER~qC~ PERMIT FOR APPEOYA L Of CONSTRUCTION FOR A · SINGLE FAI~iL% RESIDENCE OHLy FOR M~I~UU OF~ ~ ~MS -- I .Sccde, I" = IC~;"