HomeMy WebLinkAboutSieverman, Bruce ow owe
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ELIZABETH A.NEVILLE �h`Z` .y ; Town Hall, 53095 Main Road
TOWN CLERK y _< , P.O. Box 1179
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• Z Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS % v'
O $ Fax (516) 765-1823
MARRIAGE OFFICER *1/4.#4/ �,
ECORDS MANAGEMENT OFFICERQ � Telephone (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. 1811 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DANIEL J. DUNNE
Address 1 : 2175 PINE NECK ROAD
City St Zip SOUTHOLD NY 11971
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. REF #R10-97-0178
Name Of Owner SIEVERMAN, BRUCE, MR. AND MRS.
Mailing Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Property Address 1 KAYLEIGHS COURT
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 4 lot 16.010
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 2/11/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE �•�`t` y���` Town Hall, 53095 Main Road
TOWN CLERK •• co -t P.O. Box 1179
• y •Z Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax O t Fax (516) 765-1823
MARRIAGE OFFICER �: y O,�� Telephone (516) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER -O! �����'
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: February 9, 1998
Transmitted herewith is a copy of application No. 1885 for a Cesspool/
Septic Tank Construction Permit submitted by:
Daniel J . Dunne for Mr. and Mrs. Bruce Sieverman
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 t/
DISAPPROVE
Comments:
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Application No."1-ft5—'
Judith T. Terry, Town Clerk .
Town huh , S'3095 Main Road t "pfib constrin.:tion
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P. O. fox 1179 • ‘Ab. Alteration
Southold, New York 11971 4".
Telephoiki • • Residential
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(910 765- 1801
• TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL. DisTRICT
• APPLICATION
101
CONSTRUCT ION or nrriinATION plitairr
• TANK oc CESSPOOL
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Permit No.
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Fott $
DATE r4. tiqg
APPLICANT NAME: T.) e_
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APPLICANT ADDRESS: KfeCic
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SEPTiC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Most be allm:lied hereto before penult may be Issued.
• LOCATION OF PROPOSED CONSTRt. CT ION OR ALTERATION:
OWNER OF PROPERTY :ae..„..ele3..,„&e.c_cc_Se...e:-.- ,22_,?__,3
OWNER MAILING ADDRESS: ipei /e7 74-6/
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PWNER PROPERTY ADDRESS:k4. 1 (19(9-(41r74
TELEPHONE NUMBER *OF CONTACT PERSON:
.( AX MAI' NO. : Section 2 I mock Lot / •-/
CROSS. STREET: /teRte• ,
PERMIT NUMBER CROSS REFERENCE :
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