HomeMy WebLinkAboutMurdock, Marion FOL/re"hal
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B 'j Town Hall, 53095 Main Road
Vd O•i P.O. Box 1179
'J / 1D ' Southold, New York 11971
JUDITH T.TERRY ��11`,O - TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1585 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : MORRIS CESSPOOL
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 ADJACENT WELLS
BUILDINGS, PROPERTY LINES, AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner MURDOCK, MARION
Mailing Address 1 515 SOUND AVENUE
City St Zip PECONIC NY 11958
Property Address 1 515 SOUND AVENUE
City St Zip PECONIC NY 11958
Tax Map No. section 67.00 block 2 lot 2.000
Cross Street MILL ROAD
Building Permit Number Cross Reference:
Issue Date: 12/20/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ��_� �<`� Town Hall, 53095 Main Road
TOWN CLVRK Q CO, i P.O. Box 1179
REGISTRAR OF VITAL STATISTICS y ��/� Fax (516) 765-1823
� �„I Southold, New York 11971
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER 491 * **al” Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER '��� ,•""
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: December 18, 1996
Transmitted herewith is a copy of application No. 1653 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Morris Cesspool for Marion Murdock
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 r commendation:
APPROVE -
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
REQUIRED.
RECEIVED
DEC2 0 1996 si ��. '
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Southold Town Clerk Date ( / t ��
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OFFICE OF THE TOWN CLERK ,�
Town of Southold ' C��FF��K`'
Judith T. Terry, Town Clerk ;' O 41k4\ Application No. / 3-a
Town Hall, 53095 Main Road Construction
P. O. Box 1179 v
^' Alteration
Southold, New York 11971 ; i;
Telephone kyO,r .�� �.' $10.00 - Residential l�
(516) 765-1801 =��1 * ,,, � $25.00 - Non-Residential
-- .11 ,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ _ )
DATE 612,
APPLICANT NAME: /7170/‹Z S
4
APPLICANT ADDRESS: )7 Oye;� ir1 f
SEPTIC CESSPOOLP----1
DESCRIPTION OF P''POSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY :
OWNER MAILING ADDRESS: /
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON: 7‘r.„7.907.)
TAX MAP NO. : Section 67 Block Z Lot ?-
CROSS
CROSS STREET : /1.1
BUILDING PERMIT NUMBER CROSS REFERENCE:
/Signature of Applicant
RECEIVED BY : /Nit t t�
Town Clerk's Office
DATE: t kii 96
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