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HomeMy WebLinkAboutConlan, Christopher j ,, gig�oFFOL4-0„ - JUDITH T.TERRY %� 0 1 Town Hall,53095 Main Road TOWN CLERK H = P.O. Box 1179 rrt , REGISTRAR OF VITAL STATISTICS O �� Southold,New York 11971 MARRIAGE OFFICER ‘:414/0 al��� Fax(516)765-1823 RECORDS MANAGEMENT OFFICER � * `1► ,d Fax (516)765-1800 FREEDOM OF INFORMATION OFFICER o �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1731 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : CHRISTOPHER CONLAN Address 1 : P. O. BOX 1021 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-96-0095 Name Of Owner CONLAN, CHRISTOPHER Mailing Address 1 P. O. BOX 1021 City St Zip SOUTHOLD NY 11971 Property Address 1 CLIPPER DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 79.00 block 4 lot 17.006 Cross Street ANCHOR LANE Building Permit Number Cross Reference: Issue Date: 9/19/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) awl iii o� �gUf FOL,. JUDITH T.TERRY �, G'y � Town Hall, 53095 Main Road TOWN CLERK ; e ' OFFICE OF THE TOWN CLERK ,•""" • Town of Southold ''��.U��OtxC`� Judith T. Terry, Town Clerk �t`*Q Ory Application No.I&O,' Town Hall, 53095 Main Road ;� d4,� Construction P. 0. Box 1179 ; o j: • ,'ter, •• Southold, New York 11971 Alteration :y0�, : $10.00 - Residential Telephone a0� (516) 765-1801 - '.1 4' t,. ' $25.00 - Non-Residential • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee .$ DATE APPLICANT NAME: 6/66-70,e4,_ f70,1/4-11 11 APPLICANT ADDRESS: P O . B©X AIR/ saicrix k , .Y //Q7/ SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Cans'te , tion) 0-r- Sew ,g q e V!,1 s L 5,/S:7eri, Fo 'e u) 5 rt cp l;4,17,I/ ke LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PRQSPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: C1 7%P he IC Con 14') OWNER MAILING ADDRESS: ? O. Soy /0€2./ .courho l a , /CY 1/97/ OWNER PROPERTY ADDRESS: d,? - 'f/( co tJ MD I', L,y. /1 q 7/ TELEPHONE NUMBER OF CONTACT PERSON: 7 ,5= 6S-0 6, TAX MAP NO. : Section 079 Block 0 V, 0 0 Lot 0 /7 . 70/ CROSS STREET: ,tir?C ho Xe9r3 BUILDING PERMIT NUMBER CROSS REFERENCE: Sig ture of Applicant RECEIVED BY : Town Clerk's Office DATE: • . . - 1 . \, 1 SUFT Pik% ilrAil?Id/10/1/7 viO4. .1 .. .... . -1 I ; s, 1.7" ISt NO. 1 -174 T.*• ‘.°. • —....r - .' e' 15 ' ; I . . II Cr ,L. 0 1.,... i.L ."" , I". r-,------...1 i i ...t•g 4•t 6 1 .. ,..Aill Litlejfeh 1 c c-r___2_10 • • • • - -.)CALE-40.;,1 • 1 ..._.........,...., -„..a. , (ig AREA.41,9ses.F. , . \ * • WELL r------- 5°'----.: 0 M0114U KENT I ../ , ; • ; \' \ 0=PIPE . ik It 0 W e :-1 - I_. I \I \ it .4 •-. , . N "is) cv , rf• I -- ; 1 N 1 P41 al t \ I . . OF .> . t _ MAP P-ROPEQTY iP g 1 1 --- tz, / SUaVEYED 41 2 , I 0 ./. q LC-1121 ..-,TOPHHEre: 7L)N ...' I iLdA, \i SUFFOLK CO.TAX MAP 011104;ATION: ' ..1 AT • DIST. SECT. BLOCK ' PCL. 1000 079 4. 174 1 \—. 0 i 1 a SO N.:71-4.7.,LZ.% 'OWNERS ADDIMS: i I ( 17'.:AAIN Or SOUTHOLD , N.Y. 116 6 LEK MILE.E WAN' t.17-' • . , --, a Ar • -....... --" 2 zin I or, ) • _ 47z -7 133 • , T. 9U. 1 ...- . _ _ _ - - - ; DEED:L. wig P. I 1 e ..."\.•±- --4 xp.—— -, — 1 , 1 . lo C... C.I.. • , . Tor Hal STAMP 1 ismariro.o...0.......o... wiesewronnieriorie I atamortimaiminiikor --: 1 , r artorearair . C4 ; 7:3 . , orpreamssimpourritaime tij , . , , I irmairtalloMaimiiishr irsirastomirnolormuirros sr toorwitirroas R , , . ..........0......... •••• .........•,..........., . in ,•• ,,.. 0... • ............1.... ] c.1 _ 1 , s tk ..............„„,.. .- ipolamsommormase tfZi 1 tYN , \1\ 2 imftaremiumbeirmea,... ., ittok . lam.flowsessacistialulanbir , 2'1 . -rs...1 I, • 0 isaluoilialbrimowsilimite 4° 130.11.4 • .........,_______._.--._ - It i 1E94 N.57*3330W. ---------------41 4 94LNOCI: 167-Zi Irr +et' tit irrtzto, ‘' .-r-F. r. "" C.", ti, 144.-eb 1 AS SURVEYED SE PI" 1 ,1996 t 1 RODERICK VAN TUYI..P.C.- *IIIC:1 7.'-: se. WATER-SIMPLY AND IMAGE INIPOSAL SYMMS MOST "Z.V.,__ Tr.....Tor I - CONFORM wrra raw arrAingita iikru1ronmars-13,um.-._........ • .s, ,.. ....1.• VA C A LI hYr) ------7 • CENSED LAND SURVEYORS _ • 1 ..... GREENPORT NEW YORK ... _..........-— ...—