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HomeMy WebLinkAboutLaRosa, Joseph ELIZABETH A. NEVILLE $�,� Town Hall, 53095 Main Road TOWN CLERK ,� p - ; P.O. Box 1179 • •• y 2 • Southold, New York 11971 REGISTRAR OF VITAL STATISTICSDy 4'�� Fax (516) 765-1823 MARRIAGE OFFICER �L ,, RECORDS MANAGEMENT OFFICER "v� � �I 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. 1794 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : PECONIC CESSPOOL Address 1 : P. O. BOX 972 City St Zip MATTITUCK NY 11952 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 LAROSA, JOSEPH Mailing Address 1 51 RANDOLPH DRIVE City St Zip DIX HILLS NY 0000 Property Address 1 475 INLET DRIVE City St Zip MATTITUCK NY 11952 Tax Map No. section 106.00 block 2 lot 20.000 Cross Street EAST ROAD Building Permit Number Cross Reference: Issue Date: 1/12/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,/ S1 / . ELIZABETH A.NEVIILLE �$,`yam G.y��` Town Hall, 53095 Main Road TOWN CLERK ; p -4 P.O. Box 1179 C4 Z Southold, New York 11971 REGISTRAR OF VITAL STATISTICS ` �1% ` Fax (516) 765-1823 MARRIAGE OFFICER ifi ��� .00 �1� Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER is OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda Cooper, Southold Town Clerk's Office DATED: January 7, 1998 Transmitted herewith is a copy of application No. 1868 for an ALTERATION PERMIT for a cesspool or septic system submitted by Peconic Cesspool for Joseph LaRosa 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. RECEWED JAN 1593 Signatur Date c OFFICE QIE• THE TOWN• CLERK ,►►►►►" - Town of Southold0'4fU[ke- Application No. Town Clerk Judith T. Terry, ' Town Hall, 53095 Main Road ;1 � %:44,= Construction P. O. Box 1179 *, Southold, New York 11971 : � -w , k e‘v.'-iffill 69-4-9c-irvf Lw ..dt.,,, ,/ J , +,,, L�-r /)-11,1- T ' r