HomeMy WebLinkAboutLoehr, Laura 0 % #SUFFO�,�C
ELIZABETH A.NEVILLE • `1Gy � Town Hall, 53095 Main Road
TOWN CLERK , c3 -� P.O. Box 1179
t ti Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % v'
MARRIAGE OFFICER `O a Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER y#01 . S i11 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER W .�
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1802 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : SEA BREEZE CESSPOOL
Address 1 : P.O. BOX 156
City St Zip CUTCHOGUE NY 11935
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 LOEHR, LAURA & WOODGER, CAROL
Mailing Address 1 63 HILLCREST AVENUE
City St Zip RYE BROOK NY 10573
Property Address 1 BAYV I EW ROAD
City St Zip GREENPORT NY 11944
Tax Map No. section 52.00 block 5 lot 31 .000
Cross Street
Building Permit Number Cross Reference:
Issue Date: 1/29/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE • `1` *...4% Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK ;
y •
Z Southold, New York 11971
• •
REGISTRAR OF VITAL STATISTICS rft•� Fax (516) 765-1823
MARRIAGE OFFICER �� /y 0� � Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICERs• r11
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: January 29, 1998
Transmitted herewith is a copy of application No. for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Sea Breeze for Laura Ann Loehr & Carol Woodger
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.
Yttr)l.zece..--
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.
gnature 111
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Date
•
OFFICE OF THE TOWN CLERK
Town of Southold001./(eii- >U 7,"
Judith T. Terry, Town Clerk Application Nql
Town Hall, 53095.Main Road ;>� �
L Construction
a
P. O. Box 1179 ;
Southold, New York 11971 s N W) Alteration ::„.....„- ._,,,
Telephone �y�,1' ��i►' $10.00 - Residential
(516) 765-1801 -=y01 $, 0 $25.00 -Non-Residential
TOWN OF SOUTHOLD
i
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERAT ION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ /
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DATE !/ f
APPLICANT NAME: % s 6.11u% . . 1 1)
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APPLICANT ADDRESS: i, ip ,t 1,0, ,ip In1i, p...„_______•
AlArag
SEPTIC CESSPOO
DESCR • ' ON OF PROPOSED CO`STRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR A TERA ION: rie5
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OWNER OF PROPERTY: 1, i A 0 6 1l /
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OWNER MAILING ADDRESS: I/ 1 I (A/11 I 1 0 ��tiut
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OWNER PROPERTY ADDRE S• ♦ ; � � �►j
‘/V, / 16.
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TELEPHONE NUMBER OF, CO ACT PERSON: -),07---Z r -3767
TAX MAP NO. : Section `7 Block Lot 3 /
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
rigeifivtli 0 e ‘,1\!
Signature of Applicant
RECEIVED BY: t 4 ,A
own " lerk's Office
DATE: da-
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