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JUDITH T.TERRY �/�� y<� Town Hall, 53095 Main Road
TOWN CLERK y Z k P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
��� Fax (516) 765-1823
MARRIAGE OFFICER SIJO 1
RECORDS MANAGEMENT OFFICER =. Ol�Jr ' %Do' Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1719 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
Address 1 : 2760 YENNECOTT DRIVE
City St Zip SOUTHOLD NY 11971
Descripton of Proposed Construction or Alteration
ADDITION OF CESSPOOL TO AN EXISTING SYSTEM.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner FINNICAN, JAMES
Mailing Address 1 2205 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Property Address 1 2205 SIGSBEE ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 144.00 block 2 lot 21 .000
Cross Street PECONIC BAY BLVD.
Building Permit Number Cross Reference:
Issue Date: 8/25/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY �4 'f'1 Town Hall, 53095 Main Road
TOWN CLERK ; y P.O. Box 1179
n� Southold,New York 11971
REGISTRAR OF VITAL STATISTICS 1� Fax(516) 765-1823
MARRIAGE OFFICER �4 1RECORDS MANAGEMENT OFFICER =�0.( jog 4:000 Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department AUG I 91997
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: August 19, 1997
Transmitted herewith is a copy of application No. A1790 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool Service, Inc. for James Finnican
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 this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
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Date
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OFFICE OF THE TOWN CLERK ,,,,'",,,,
Town of Southold �'' 4001. it
Judith T. Terry, Town Clerk ; �� oG� Application o. L796
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 •=c
Southold, New York 11971 to � Alteration
Telephoney,��o ��' ��'� $10.00 - Residential �, -
(516) 765-1801 - 1 , ' $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 /fr"' (7097
APPLICANT NAME:
AO-/Ztv) ,Ge4V16-zr-e _
APPLICANT ADDRESS: i7tO
SEPTIC CESSPOOL'
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
er- k2A-1/4-f-d 0„44dedav- e
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : ' i/?JII� ►CSN
OWNER MAILING ADDRESS: 2 ,�o,S 5/ gs'k _____ _
/2/4a44 727
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON : Xjr-- Cra
TAX MAP NO. : Section Block Lot oQ
CROSS STREET : /0e(-_o_CL , .
,9_ ...
,aivd---------/- ---- - - -----.
BUILDING PERMIT NUMBER CROSS REFERENCE:
e 2z617/4-z:,
Signature of Applicant
41
RECEIVED BY : Ai. AO _
Town Cl -rk's Office 41
DATE: 8//7 /5_7
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