HomeMy WebLinkAboutUhlinger, Thomas [cilii��-
JUDITH T.TERRY �� � 4 Gyj Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
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MARRIAGE OFFICER � if' t ���' Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER l -a„.��
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. 1452 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : GARY TABOR
Address 1 : 680 NAVY STREET
City St Zip ORIENT NY 11957
Descripton of Proposed Construction or Alteration
INSTALLATION OF A LEACHING POOL 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 UHLINGER, THOMAS
Mailing Address 1 13370 OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Property Address 1 13370 OREGON ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 83.00 block 3 lot 7.001
Cross Street COX LANE
Building Permit Number Cross Reference:
Issue Date: 4/09/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY 4I = y` Town Hall, 53095 Main Road
TOWN CLERK ` y = ; P.O. Box 1179
v. Pr, iii Southold, New York 11971
REGISTRAR OF VITAL STATISTICS O
MARRIAGE OFFICER .=y., 4 - /� Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER _: O! 4 ��i Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER ,•1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
.J
TO: Southold Town Building Department
FROM: Linda Cooper, Southold Town Clerk's Office
DATED: March 22, 1996
Transmitted herewith is a copy of application No. 1511 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Gary Tabor for Thomas Uhlinger .
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
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* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - z '
DISAPPROVE -
COMMENTS: Maintain required setbacks from adjacent wells,
buildings, property lines and water bodies. EXCAVATION INSPECTION
'FleCEIVED ?
Signature'
Town Clerk solo* '7l//96
Date
ti
OFFICE OP THE TOWN CLERK "",,,,,
W Town of Southold ' ��FFOtK�
Judith T. Terry, Town Clerk Application No.,4 ) 51 1
Town Hall, 53095 Main Road ;� Construction
P. 0. Box 1179
Southold, New York 11971 IP �'; Alteration ,/
Telephone �y0,yy� �b •'As. $10.00 - Residential
(516) 765-1801 . 1 4 ,, $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 :T/
APPLICANT NAME: 6')42- ` /6 0
APPLICANT ADDRESS: to S'U Ji/19 (// S j
0 )1 0✓ I
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: / ,1,70frvt 0-S )) 117 't•
OWNER MAILING ADDRESS:/357° J' Q`,/ ) -cel
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OWNER PROPERTY ADDRESS: 5 A /44 <- -
TELEPHONE NUMBER OF CONTACT PERSON: LT , 3 — 6 6 7
TAX MAP NO. : Section 3 Block 3 Lot /7— 1
CROSS STREET: C
BUILDING PERMIT NUMBER CROSS REFERENCE:
Sig ture of Applicant
RECEIVED BY:
To n Clerk's Office
DATE: p (01 6
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