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HomeMy WebLinkAboutHaurus, Barbara { o,O��S�FFO(,�C JUDITH T.TERRY is_ftt Town Hall, 53095 Main Road TOWN CLERK ; y • P.O. Box 1179 • 00 P.P7i Southold, New York 11971 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER y� ��/ Fax(516) 765-1823 RECORDS MANAGEMENT OFFICER : �l `�►a �� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER •Pa •, ���•' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1540 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : MORRIS CESSPOOL SERVICE Address 1 : 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION OF AN OVERFLOW TO AN EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS BUILDINGS, AND PROPERTY LINES. EXCAVATION INSPECTION REQUIRED. Name Of Owner HAURUS, BARBARA Mailing Address 1 25025 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Property Address 1 24975 MAIN ROAD City St Zip CUTCHOGUE NY 11935 Tax Map No. section 109.00 block 1 lot 21 .000 Cross Street ALVAHS LANE Building Permit Number Cross Reference: Issue Date: 9/16/96 Judith T. Terry Southold Town Clerk (TOWN SEAL) G � JUDITH T.TERRY ���_� yt Town Hall, 53095 Main Road TOWN CLERK y = P.O. Box 1179 T $ Southold,New York 11971 REGISTRAR OF VITAL STATISTICS �Oy ��� Fax(516) 765-1823 MARRIAGE OFFICER '=40 0��ii� Telephone(516) 765-1800 RECORDS MANAGEMENT OFFICER _ 1 �` FREEDOM OF INFORMATION OFFICER ,01 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: September 10, 1996 Transmitted herewith is a copy of application No. A1606 for an ALTERATION PERMIT for a cesspool or septic system submitted by Morris Cesspool Service for Barbara Haurus • 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 foll� recommendation: APPROVE DISAPPROVE - COMMENTS: Maintain required setbacks from adjacent wells, buildings, property lines and water bodies. EXCAVATION INSPECTION REQUIRED. ;�f� , Signatur• iJ Date/V9,4 91 OFFICE OF THE TOWN CLERK ,,, Town of Southold Judith T. Terry, Town Clerk � Application No./4/6 Town Hall, 53095 Main Road44 It+ Construction P. O. Box 1179 k../; Southold, New York 11971 a + Alteration Tele hone #,' $10.00 —Residential ,,7 (516) 765-1801 4It , 0 �' $25.00 -Non-Residential • TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT / 9,9yr APPLICATION %% /9 Artift/fAA for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ n DATE &0015-4e /p /29G APPLICANT NAME: Ae/1 S T ill s 41 I APPLICANT ADDRESS: 2 ?‘ SEPTIC CESSPOt DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: APArhiQ,A9 i _a OWNER MAILING ADDRESS: , rM 25'n 2.5" /i7 z,,'4 OWNER PROPERTY ADDRESS: TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section /(,) g Block / Lot •e/ CROSS STREET: BUILDING PERMIT NUMBER CROSS REFERENCE: 0,014-A-3 Signature of Applicant RECEIVED BY: 46 Town lerk's Office DATE: V/D7 4( kr?