HomeMy WebLinkAboutLivanos, George O4FOrtc
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JUDITH T.TERRY Q1�� y1 Town Hall, 53095 Main Road
TOWN CLERK H P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
Fax(516) 765-1823
MARRIAGE OFFICER � SIJ 4I/16
RECORDS MANAGEMENT OFFICER O1', � dTelephone (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. 1753 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 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 LIVANOS, GEORGE
Mailing Address 1 17 SOUND BEACH DRIVE
City St Zip MATTITUCK NY 11952
Property Address 1 17 SOUND BEACH DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 99.00 block 1 lot 23.000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 10/21/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
0 ,.NYCO
JUDITH T.TERRY ti Town Hall, 53095 Main Road
TOWN CLERK co) P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS • Fax (516) 765-1823
MARRIAGE OFFICER :W ,
RECORDS MANAGEMENT OFFICER "Vel , �►�0Ili
Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER •, .0-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: October 17, 1997
Transmitted herewith is a copy of application No. 1827 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for George Livanos
•
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.
igna rz
Date
•
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OFI`ICE OF THE TOWN CLERK ,,,'",,"
Town of Southold "....,0,,.." �FFUIK
Judith T. Terry, � CSG Application No../U -7
y Town Clerk
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Town Hall, 53095 Main Road 4 !� ; Construction
P. O. Box 1179
Southold, New York 11971 fir ; Alteration /
Telephone
%...--...1,� 00- $10.00 - Residential
(516) 765-1801 ' �l
' $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE 0 /? /FY7
APPLICANT NAME: R10,--,/-i
APPLICANT ADDRESS: f767 /'L/', 1fCart IA'
SEPTIC CESSPOOL (�
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
.0114't-ireerte)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: Le7•10,7.4
OWNER MAILING ADDRESS: ( 2jct...,. .B.A.o.c, „p/P
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OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: — j $ 7'J fGIJ
TAX MAP NO. : Section 96? Block 7 Lot 25
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
t ,41 I ��Gtt
Signature of Applicant
RECEIVED BY:
Tow Clerk's Office
DATE: / 61`f ) ) t/)
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