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JUDITH T. TERRY ; < Town Hall, 53095 Main Road
TOWN CLERK ; Gr11 P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS . Cn `• Southold, New York 1 1971
MARRIAGE OFFICER VQ � Fax (516) 765-1823
_ �`Q PQ ' Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 760 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF AN OVERFLOW POOL TO AN EXISTING SYSTEM.
APPROVED. INSTALL NEW OVERFLOW TANK SO AS TO BE SAME OR BETTER
DISTANCE FROM WATER SUPPLY (POINT) .
Name Of Owner CABRAL, MANUEL
Mailing Address 1 1800 HARBOR LANE
City St Zip CUTCHOGUE NY 11935
Property Address 1 1800 HARBOR LANE
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 103.00 block 1 lot 25.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 9/25/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
3 'R
SEP I 6 1991
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. Town Town Hall, 53095 Main Road
`
„ ..` :• �,:' P.O. Box 1179
,,/ Southold, New York 11971
JUDITH T. TERRY � '"u-y%=�y� TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE 01H THE TOWN CLERK
TOWN OF SOUTHOLD
September 16, 1991
To: Southold Town Code Enforcement Officer
From: Linda J. Cooper, Southold Town Clerk's Office
A Igo
Transmitted herewith is a copy of application No. for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Manuel Cabral
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 recommendation:
APPROVE - X
DISAPPROVE - +
COMMENTS: i s � o cis l -' T c -vt�[ 6,„, a t
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OFFICEO'F THE TOWN CLERK ,.," '
Town
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�' �� Cil/ Application No.
Town Clerk -
Judith T. Terry, � y
Town Hall, 53095 Main Road ; f0_ Construction
P. O. Box 11791=g 6m
Southold, New York 11971 :
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