HomeMy WebLinkAboutKron, Gary `o/,,
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JUDITH T.TERRY I_� y ��` Town Hall, 53095 Main Road
TOWN CLERK ` y P.O. Box 1179
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= Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • O � Fax (516) 765-1823
MARRIAGE OFFICER �� ��
RECORDS MANAGEMENT OFFICER �,( �a �. Telephone (516) 765-1800
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FREEDOM OF INFORMATION OFFICER ,so
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1688 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY KRON
Address 1 : NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
REPLACE EXISTING POOL.
APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner KRON, GARY
Mailing Address 1 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Property Address 1 NEW SUFFOLK AVENUE
City St Zip MATTITUCK NY 11952
Tax Map No. section 114.00 block 12 lot 9.000
Cross Street OLD JULE LANE
Building Permit Number Cross Reference:
Issue Date: 6/17/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY i•' Gym• Town Hall, 53095 Main Road
TOWN CLERK t o ;t P.O.PBox 1179
WT Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
Vel,
0 Fax (516) 765-1823
MARRIAGE OFFICER ”. 11
RECORDS MANAGEMENT OFFICER =_°,( lig �a0as�111 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER s ,,i°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: June 13, 1997
Transmitted herewith is a copy of application No. 1758 for a Cesspool/
Septic Tank Construction Permit submitted by:
Ray Nine for Gary Kron
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 r ommendations:
APPROVE
DISAPPROVE
Comments:
RECEIVED
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S-CA"\-A--.L.4-A--
JUN 1 " 1997
Southold Town!"F r15
Dated G It �tet ,
OFFICE-•OF THE TOWN CLERK ,'►'"'''''''%
Town of Southold '" c..,001.K`.1 .
Judith T. Terry, Town Clerk Ol/y�; Application No. 5
Town Hall, 53095 Main Road Construction
P. O. Box 1179 • r+ Alteration
Southold, New York 11971 ,
Telephone �� Q`r��'� $10.00 - Residential ( —.-
(516) 765-1801 .Ql �� r
�'' $25.00 - Non-Residential
P.
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 0/.3 /f 1
APPLICANT NAME: Gf fZ y 1< 'pi✓
APPLICANT ADDRESS: /vf s' �F
rn /9rr JIT 4Gt; /lys2
SEPTIC CESSPOOL ✓
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: G-11A'
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: /v Cw S. 11 f fo- /? Vt
TELEPHONE NUMBER OF CONTACT PERSON: Q�`=
TAX MAP NO. : Section /PI Block /2. Lot c
CROSS STREET: ,Q �y�_
BUILDING PERMIT NUMBER CROSS REFERENCE:
jetig
Signatee of pplicant
RECEIVED BY: !Zt
own Cler• s Office
DATE: 6, 77 ... / '"7. __._
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