HomeMy WebLinkAboutDoering, Robert t I ��OFFOUr
JUDITH T.TERRY 4,i�0 •
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Town Hall, 53095 Main Road
TOWN CLERK P.O.y Box 1179
P � Southold,New York 11971
REGISTRAR OF VITAL STATISTICS O 1%
MARRIAGE OFFICER \41* Fax(516) 765-1823
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RECORDS MANAGEMENT OFFICER O1 -0,••• Telephone (516) 765-1800
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1617 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DIAMOND BUILDERS INC.
Address 1 : P. O. BOX 2100
City St Zip GREENPORT NY 11944
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. SCHD REF. #R10-97-0031
Name Of Owner DOERING, ROBERT
Mailing Address 1 335 LEON ROAD
City St Zip SOUTHOLD NY 11971
Property Address 1 ORIOLE DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.(12,3"-----
Cross
5.03Cross Street LISA DRIVE / c.. 3
5 (11'
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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' Town Hall, 53095 Main Road
of y0 Off; :-Box_ i 79
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JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 4, 1997
Transmitted herewith is a copy of application No. 1686 for a Cesspool/
Septic Tank Construction Permit submitted by:
Diamond Builders, Inc. for Robert Doering •
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE r�
DISAPPROVE
Comments:
RECEIVED
•
MAR 2 1997 ignatu
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Dated
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PERWT FOR AP' OVAL OF CONSTRUCTION 't: :v
- SINGLE FAMILY PCB ONLY
DATE FEB'2 �7 ,„,-
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