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Home My WebLink AboutHands, William 000 c FFOL,- J. JUDITH T.TERRY I �� y1 Town Hall, 53095 Main Road TOWN CLERK ; y P.O. Box 1179 REGISTRAR OF VITAL STATISTICS rry � Southold, New York 11971 MARRIAGE OFFICER �yijJ a0.�,e Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER � �d� 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. 1526 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : WILLIAM A. HANDS JR. Address 1 : P. O. BOX 181 City St Zip ORIENT NY 11957 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. SCHD REF. #R10-96-0045 Name Of Owner HANDS, WILLIAM A. JR. Mailing Address 1 P. O. BOX 181 City St Zip ORIENT NY 11957 Property Address 1 WILLOW TERRACE City St Zip ORIENT NY 11957 Tax Map No. section 26.00 block 2 lot 21 .000 Cross Street KING STREET Building Permit Number Cross Reference: Issue Date: 8/21/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) , ) / JUDITH T.TERRY = y1`� Town Hall, 53095 Main Road TOWN CLERK y ? % P.O. Box 1179 . ill t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS `°y ,1,,O.Os Fax(516) 765-1823 MARRIAGE OFFICER IL RECORDS MANAGEMENT OFFICER 0..1 *►al e. Telephone(516) 765-1800 FREEDOM OF INFORMATION OFFICER vim,- • its OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD € TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 14, 1996 Transmitted herewith is a copy of application No. 1592 for a Cesspool/ Septic Tank Construction Permit submitted by: William Hands Jr. 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 re--- -- commendations: APPROVE L/ DISAPPROVE Comments: /" tf��, ./7/ :). (-4/77://90--9';-- f2Ec .-c— i . (17........./4 00 ,tom I -74 Signature / IA) 9.- Dated 110. OFFICE OF THE TOWN CLERK """ C* : Town of Southold .'' '� O[ r ' d � G - Judith T. Terry, Town Clerk ;4,QApplication No. /S.' ,7 y Town Hall, 53095 Main Road % Construction P. O. Box 1179 c Southold, New York 11971 to *. Alteration Telephone � �Q�.i� $10.00 - Residential (516) 765-1801 : ! �f' $25.00 - Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICAT ION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ DATE �G// f 7 /3, 199-- APPLICANT NAME: /A-1-/, i , . isy,t42.s '/Lt • APPLICANT ADDRESS: ahc.GG' ,8e4/ /?/ g/I//7, ti Y //9s7 SEPTIC CESSPOOL V DESCRIPTION OF PROPOSED CONSTRUCTIONOR ALTERATION /17e- u/ "E3/j /1/6( LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: �— OWNER OF PROPERTY: Gl//,�4//may 4. 1`7417t/AC \ /z OWNER MAILING ADDRESS: 7EJ1/li,'�� "�- '✓ /OY/ 7/Z/c'vi, 4/• y. / / 91-7 OWNER PROPERTY ADDRESS: S '�L TELEPHONE NUMBER OF CONTACT PERSON: S/4 TAX MAP NO. : Section / © p-4p Block d g Lot D o2 CROSS STREET : X` /A/6 57 BUILDING PERMIT NUMBER CROSS REFERENCE: Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: SUFFOLK CO: ,•�"'' ,. ^ NE ..�'I•i{QE1'T."/kF'l�1�QY�T, �`� '� • ;VOTE =9 hr,S. Ivo. ._ <EFE_ '- A lF `Al t�... `,1V -2.'�CE- -'{7- r�•tGy n} may- '-'..-...7 /�/^ ,.-.. „/�GuNt -.. f i : h Y,'•-r. , t... ... .. �.{ y t 4 Y --ti vhy� +e �. ` I FitED :Y4 114E: 5 V.F$"",.+ i't+'aF. v V:1S•� 5 +J• +raw ./ 54C, r .�; + ill v .E" E�,TCVAT;4t�i Cf1I i-cuzS _,s 3 1~v TC /44 .5,41.1 , 4 Ariniiiiitleivias ` ', ' ' , / R r + r '\ , (110-.`"4' x 140' t _ - {{//VV • O i b' ' t ^ ► -..K - \ :14,2. . 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