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Home My WebLink AboutSpanos, George ��,,o�S11Ff0�,�-e0 ELIZABETH A.NEVILLE ++ti� * ; Town Hall,53095 Main Road TOWN CLERK o P.O.Box 1179 scr REGISTRAR OF VITAL STATISTICS r . Southold,New York 11971 MARRIAGE OFFICER Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER oy_Q1 aO!'''�� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER ' _ �' southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3219 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : MORRIS CESSPOOL Address 1: 2760 YENNECOTT DRIVE City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration ADDITION TO EXISTING SYSTEM. APPROVED AS SUBMITTED. MAINTAIN REQUIRED SETBACKS FROM ADJACENT WELLS, BUILDINGS, PROPERTY LINES AND WATER BODIES. EXCAVATION INSPECTINO REQUIRED. Name Of Owner SPANOS, GEORGE COZY COVE Mailing Address 1 31-06 34TH STREET, APT 1 City St Zip ASTORIA NY 11106 Property Address 1 1600 BAY AVENUE City St Zip EAST MARION NY 11939 Tax Map No. section 31.00 block 8 lot 25.000 Cross Street MAIN ROAD Building Permit Number Cross Reference: Issue Date: 9/02/04 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) -,m.- --� - 0', t‘; 3 a o ` ELIZABETH A. NEVILLE ��Z y� ` Town Hall, 53095 Main Road TOWN CLERK t y Z $ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS :O �',t Southold, New York 11971 MARRIAGE OFFICER .. ' 0. Fax Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER - of 4, $',sod Telephone (631) 765-1800 •FREEDOM OF INFORMATION OFFICER -4'••... ..ssoutholdtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD R:CEIVED TO: Southold Town Building Department -.'^ 8 2034 AUG % LuO4 FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: August 3, 2004 Southold Town Clerk Transmitted herewith is a copy of application No. 3360 for a Cesspool/Septic Tank ALTERATION Permit submitted by: Morris Cesspool for George Spanos 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. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and lo 'on map of the project cited above and make the following,p ak APPROVE D5 Yj/O 5 DISAPPROVE V ee .,0 /0,1 . Ob /oC7/(D Comments: Maintain required setbacks from adjacent wells,buildings, p perty line and water Bodies. EXCAVATION INSPECTION REQUIRED. . -2-1.K........z...,d ..4.- Signature !O a7‘4*°?.. °12v(16 Dated tl #iii OFF01/► ELIZABETH A.NEVILLE ,O / "(VI Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 REGISTRAR OF VITAL STATISTICS Southold,New York 11971 MARRIAGE OFFICER s Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �� southoldtown.northfork.net �� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER =_4'1 *,'iti0 • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @$25 7 Application No. .; 3 4z'O Permit No. Applicant Name /22G/2 i? 'S ('L`.-5, x-26 Applicant Mailing Address 2'0 / (i/45 c.:,4, r t /).Ae .\257e, theiii Septic Tank or Cesspool ep P Brief Description of Proposed Construction or Alteration 02 RC1 Location of Proposed Construction/Alteration: Owner of Property: f ai,,sC ),42-1/01 (.---,Z/ e v''''t Owner Mailing Address: /‘4,6 2C.L '� At---4-5 iPAW/ d\-Owner Property Address: 31 -0(.. . 34114 SYt ' Int pf I AS-ttm2„ y 'tel\I ill 0(0 Name and phone number of contact person SCrosTax Map No: Section 3 / Block g- Lot ZS-- Cross s Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURWITH HEALTH DEPARTMENT APPROVAL Lq (.7 ,-,,,, ‘ 7 Signature o Applicant Date Received by: l ric,144.1 rt-trt _L Pc4 \L //,/4/J irprils- ‘, ,Incirdo 9 C514C) a040, - )