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HomeMy WebLinkAboutGlaessgen, John •i" OFF04 JUDITH T.TERRY t4 'y1 Town Hall, 53095 Main Road TOWN CLERK ; y . P.O. Box 1179 Hy � Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 11 Fax(516) 765-1823 MARRIAGE OFFICER y 1 RECORDS MANAGEMENT OFFICER = o( �.�0�111 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. 1699 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : JOHN & JUDITH GLAESSGEN Address 1 : C/O MESIANO City St Zip EAST MORICHES NY 11940 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. #R10-95-0059 Name Of Owner GLAESSGEN, JOHN AND JUDITH Mailing Address 1 C/O MESIANO 12 MILL POND LANE City St Zip EAST MORICHES NY 11940 Property Address 1 OLD SHIPYARD LANE City St Zip SOUTHOLD NY 11971 Tax Map No. section 64.00 block 2 lot 47.000 Cross Street LANDON ROAD Building Permit Number Cross Reference: Issue Date: 7/08/97 Judith T. Terry Southold Town Clerk (TOWN SEAL) 7 I _ ' F'. ."--.• t ��,�®S�fFOt,�OA Os' 1,1 Gym Town Hall, 53095 Main Road JUDITH T.TERRY �� TOWN CLERK t C = P.O. Box 1179 v. T Southold, New York 11971 REGISTRAR OF VITAL STATISTICS O It Fax (516) 765-1823 MARRIAGE OFFICER ‘ 4* a0-/ Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER ,i X01 FREEDOM OF INFORMATION OFFICER mac' L° OFFICE OF THE TOWN CLERK TOWN OF SC)UTHOLD ` 7 '997 TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 3, 1997 Transmitted herewith is a copy of application No. 1769 for a Cesspool/ Septic Tank Construction Permit submitted by: John and Juidth Glaessgen (Contract vendees) 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. 4iKxrw Linda J. Cooper * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following rec mmendations: APPROVE DISAPPROVE Comments: .\"7-- s, .i ignature 1/ ') R *7 Dated OFFICE'OF THE TOWN CLERK ,,,'",,,"'' Town of Southold ,�' ,C,tFU r/N Applicationl '6 Judith T. Terry, Town Clerk Ol/ No. Town Hall, 53095 Main Road ; �' Construction C/ P. O. Box 1179 Alteration Southold, New York 11971 t / /-- $10.00 - Residential v Telephone �'►' — (516) 765-1801 �.1 �, ' • $25.00 - Non-Residential _, ' FN TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE 74/2 7 APPLICANT NAME:jo + 308411 Cr (C�esS g EEA) . APPLICANT ADDRESS: /o C,. NI b MdI Oxo e. 10_443 SEPTIC CESSPOOL )C DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION c_fir,,� LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: ,),,►1 ,0- 9 ke 35 eye OWNER MAILING ADDRESS: loI'_ir.S1A. ?o12- 14,itPoKJ, (, ,'--- - ----.— E . 1`'l.0 u C s JU_( i t I-o OWNER PROPERTY ADDRESS: OLD S-h.42.yp.,4- `,U 0-1-141-r.)1_, , TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section 194 Block Lot CROSS STREET: ` s • BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY : Town Clerk's Office DATE: nnrr al .TM SERVICiel 1 DATE APPROVED „ .. ,� - .. FAMILY DPAtiltio dna. • A/ Z5"✓5'kV a / ,3 75'-O --'-'-77.-,...,3611111. 1•6,,,;..7r-__- - --....- - ,.....• ' <0 \/ 2.. • ••;'' -,, 0 ' . .., 4, _. .....r,...... . •••• g •• e. 9.' • .7; 1.114000 :3410:4,e ifq . ''. ,P 14 . . , ', * 0 t ( 0 se , lit, /46 .. CIP ----N— :le: . <4 0 13 ° . e•'P „. ,,' ... - " .5" ° 4'' . ,IP ,.. .9... ‘,., :: ., ... .... .t. ,...1''' •:°::. .\•• .4'„N./ . ,, ' :,, , )''/ :.. \ `V,/•,`'.. b ,.., . ,ce. 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