HomeMy WebLinkAboutO'Boyle, Theresa WO
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JUDITH T.TERRY �� 435 Town Hall, 53095 Main Road
TOWN CLERK c�i� Z i P.O. Box 1179
v' Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS �O ��,�� Fax (516) 765 1823
MARRIAGE OFFICER �lJ O
RECORDS MANAGEMENT OFFICER : O!I* '�`�• Fax
(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. 1720 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 WELLS,
BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTION
REQUIRED.
Name Of Owner O'BOYLE, THERESA
Mailing Address 1 655 FOUNDERS PATH
City St Zip SOUTHOLD NY 11971
Property Address 1 655 FOUNDERS PATH
City St Zip SOUTHOLD NY 11971
Tax Map No. section 64.00 block 2 lot 38.000
Cross Street LANDON ROAD
Building Permit Number Cross Reference:
Issue Date: 8/25/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ,I��O Gym Town Hall, 53095 Main Road
TOWN CLERK ;yCD P.O. Box 1179
v. �: Southold, New York 11971
REGISTRAR OF VITAL STATISTICS % O 11
MARRIAGE OFFICER �=y /l Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER =��,� 1 �a�l/l Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER . ',.����
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: August 20, 1997
Transmitted herewith is a copy of application No. 1791 for a Cesspool/
Septic Tank Construction Permit submitted by:
Morris Cesspool for Therese D. O'Boyle
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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 Ni
* * * * * * *
* * * *
I have reviewed the application and location map of the project cited above
and make the following reccoommendations:
APPROVE
DISAPPROVE
Comments:
inatur
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Dated
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OFF•iCE OF THE TOWN ,CLERK ,,,,,,,,
Town of Southold ���'��c�Ffut- '
Judith T. Terry, Town Clerk 41W1Application No.,_`7
Town Hall, 53095 Main Road .L Construction l
P. O. Box 1179 ; v rn ; Alteration
Southold, New York 11971 th `
Telephone O10,
��O 'rr $10.00 - Residential Com-`;_
(516) 765-1801 1 * $25.00 - Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
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SEPTIC TANK or CESSPOOL
Permit No.
Fee $
l/C1
91
DATE io?C) /
APPLICANT NAME: - , .ii
APPLICANT ADDRESS: 0 ?/Q .._
SEPTIC CESSPOOL
DESCRIPTION OF P POSED CONSTRUCTION OR ALTERATION
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUC ON OR ALTERATI Nr.
OWNER OF PROPERTY : ___ . AX __._
OWNER MAILING ADDRESS: � i�• g-4
OWNER PROPERTY ADDRESS:
TELEPHONE NUMBER OF CONTACT PERSON : . . . ___5: crp
TAX MAP NO. : Section Ea Block Lot 07
CROSS STREET : /1/4/ZW6Y/
BUILDING PERMIT NUMBER CROSS REFERENCE:
ignature of App icant
RECEIVED BY :
Clerk's Office
DATE:
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