HomeMy WebLinkAboutMattituck F.D. SEP Application Form 012115f�a��va f 01
;pA
SOUTHOLD PLANNING BOARD
COMMUNICATIONS
WREMSS FACILITY
SPECIAL EXCEPTION APPLICATION
Mattituck Fire District
Application Name : -Upgraded Communications Facility
Application Date: _� .)L)) l / 2 1 /20 / �'
Suffolk County Tax Map Number 1000 - 140 . 3 11.1
Street Address: 1000 Pike Street Hamlet: Mattituck
Checklist of application materials required to be submitted
(see Special Exception Application Requirements Handout or Town Code 4.280-74 D Application
Materials for details)
_2S_One copy of the building permit application materials
_L_Complete site plan application submission
_.X_Analysis of site location alternatives
X Effort to co -locate documentation (if this is not a co -location)
X Special Exception Application Fee
DONALD J. WILCENSKI
Chair
WILLIAM J, CREMERS
PIERCE RAFTER
JAMES H. RICf1 III
MARTIN 11. SIDOR
PLANNING BOARD OFFICE
TOWN OF, SOUTHOLD
MEMORANDUM
To: Accounting
From: Planning Department
Date: January 21, 2015
Re: Checks
P.O. Box 1179
Southold, NY 11971
OF FICE LOCATION:
Town Hall Annex
54375 State Route 25
r. Main Rd. & Young_s Ave.)
Southold, NY
Telephone. 631 765-1938
www.southoldtov.,YmY.gov
Please deposit the attached check into 8691: Deferred Revenue. It represents
a Wireless Special Exception Fee for an application not yet accepted by the.
Planning Board.
Thank you.
.
Pro , je , ct - Name , & -
Type . I Tax Map # Amount Check Date &
I I Number
...... . ...... .....................
Mattituck Fire District 1000-140-3- $1,000.00 10/21/14
Telecommunications Facility 11.1 #1329
Site Plan Application Fee Elite Towers,
in
1329
QPNCB'ANK
ELITE TOWERS, LP
5 GREAT VALLEY PARKWAY, SUITE 333.. . ... . . . . 3-5/310
MALVERN, PA 19355 J 10/2112014
PAY TO THE
ORDER OF Town of Southold
One Thousand and 001100""""0'
Town of Southold
k.X "V
MEMO
000 13 290 1:0 3 10000 5 D: 86 2 L 56 386 SO