HomeMy WebLinkAboutLehmann, William G
JUDITH T.TERRY ���� Oy<'. Town Hall, 53095 Main Road
TOWN CLERK
c4 P.O. Box 1179
�+ t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS �O
MARRIAGE OFFICER y 0� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER �! l .�ea" Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER �'i
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1758 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
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 LEHMANN, WILLIAM
Mailing Address 1 26 WHITE BIRCH
City St Zip MILLER PLACE NY 0000
Property Address 1 660 RABBIT LANE
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 18 lot 16.000
Cross Street BAY AVENUE
Building Permit Number Cross Reference:
Issue Date: 10/29/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY �t G* Town Hall, 53095 Main Road
TOWN CLERK ;
OFFICE OF THE TOWN CLERK ,,''' ,,,,''•- ,<F`3
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Town of Southold �' C LK0, - Application No.-7
Judith T. Terry, Town Clerk ; (ty� ' `tY
Town Hall, 53095 Main Road = Construction
P. O. Box 11 -9 t. c Alteration
Southold, New York 11971 stri
Telephone ' .1,yo �����,�
$10.0'' R sidential >�
( 516) 765- 1801 1 $25 . 0 +on Residential
TOWN OF SOUTHOLD
SOUTHOLD WAS! EWA T ER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPT IC TANK or CESSPOOL
Permit No.
Fee $
- ----- ------ -- -
DATE - (d/7./6 _
APPLICANT NAME : !/" -, `-1 4 a.49
APPLICANT ADDRESS: ie:?:e
4 7
SEPTIC CESSPOOL 1/_
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOS'-D CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY :
OWNER MAILING ADDRESS: O76 G0`� GLG
OWNER PROPERTY ADDRESS : > '
TELEPHONE NUMBER OF CONTACT PERSON . 04-9f 96 .5J/
TAX MAP NO. : Section 3/__ _ Block /e Lot /iw
CROSS STREET :
BUILDING PERMIT NUMBER CROS__ REFERENCE :
C�J �Gz1/c 41&149
Signature of Applic
RECEIVED BY:// /Luu .cp
Town C(erk's 0
DATE: / /cam 7
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