HomeMy WebLinkAboutMcNeice, James 0,i�'r
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JUDITH T.TERRY is O Gy ��
_ < � Town Hall, 53095 Main Road
TOWN CLERK ; c/3 P.O. Box 1179
• • Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O �1
MARRIAGE OFFICER `� y1. Fax (516) 765-1823
RECORDS MANAGEMENT OFFICERAlit Telephone (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. 1620 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : LISO CONSTRUCTION CORP.
Address 1 : P. O. BOX 439
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-97-0055
Name Of Owner MCNEICE, JAMES AND MARGUARITE
Mailing Address 1 P. O. BOX 435
City St Zip REMSENBURG NY 0000
Property Address 1 CROWN LAND LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 102.00 block 7 lot 12.000
Cross Street SPUR ROAD
Building Permit Number Cross Reference:
Issue Date: 3/20/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY � _ $.41 Town Hall, 53095 Main Road
TOWN CLERK k y = P.O. Box 1179
,r Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER N. y�O! �a���I�' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER od� Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER • 00-
OFFICE
0-OFFICE OF THE TOWN CLERK If,
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 13, 1997
Transmitted herewith is a copy of application No. 1691 for a Cesspool/
Septic Tank Construction Permit submitted by:
Liso Construction Corp for James and Marguarite McNeice •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE l/
DISAPPROVE
Comments:
RECEIVED
MAR 2 1997 sign ure 7-A-A-Y)
P/Y
Dated
Southold Town Clerk
FFICE OF THE TOWN CLERK ,,,'",,,"''-
Town of Southold
0 Application No.
udith T. Terry, Town Clerk G PP
Town Hall, 53095 Main Road ; Construction
P. O. Box 1179 M, ;
Southold, New York 11971 'Ifs *'$ Alteration
Telephone =y0,o O�'i� $10.00 - Residential
(516) 765-18011st, ' $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 .3 /3 /I7
APPLICANT NAME- L I s t v y676
-
APPLI CANT ADDRESS: B 3 a `( 4 J G(
,J ��..5 e d H .`-/ // -1,
SEPTIC - CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
13 l L h U .L r7"-C-3- 1-Lt h!L ,
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: - e-, r a- r1 0.. P. e-/A--A-t, c- 1-{
OWNER MAILING ADDRESS: ? 0 t3 o y L)3
OWNER PROPERTY ADDRESS: C R
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section /4'- Block 7 Lot /.
CROSS STREET: $#e- & �.
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Ap licant
RECEIVED BY: AZ-
Town Clerk's Office
DATE: II3/9 7
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